Individual
BROOKE ORVEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 1ST AVE N, MOORHEAD, MN 56560-2893
(218) 228-3296
Mailing address
5501 19TH ST S, FARGO, ND 58104-6385
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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