Individual
JALISSA ANN SPANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1999 47TH AVE S, GRAND FORKS, ND 58201-3402
(701) 317-3921
Mailing address
1999 47TH AVE S, GRAND FORKS, ND 58201-3402
(701) 317-3921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4422
ND
Other
Enumeration date
06/25/2014
Last updated
01/07/2026
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