Individual
JILL ELAINE DENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BOUNDARY RD W # 3, CAVALIER, ND 58220-4308
(701) 265-8441
(701) 265-8058
Mailing address
300 BOUNDARY RD W # 3, CAVALIER, ND 58220-4308
(701) 265-8441
(701) 265-8058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2101
ND
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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