Individual
BROOKE LEANNE BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 895-4685
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5825
ND
Other
Enumeration date
04/30/2019
Last updated
01/09/2026
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