Individual
JULIE MARIE SOLBERG-WANNER-GRUMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4152 30TH AVE S, FARGO, ND 58104-8403
(701) 364-2663
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00000
ND
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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