Heavenly Lace Mabe
Heavenly Lace Mabe is a Peer Specialist in Fargo, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.
- Licensed in
- ND
- In the registry since
- 2024
Practice location Address checks out
921 2nd Ave SFargo, ND 58103-1705
Phone: (701) 318-8204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 448 (ND) |
|---|
Record details
| NPI number | 1336900356 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2024 |
| Last updated in NPPES | October 11, 2024 |
| Certification date | January 16, 2024 |
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