Individual
EMILY JO COUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4152 30TH AVE S, FARGO, ND 58104-8524
(701) 364-2663
Mailing address
3088 BIA ROAD 6, DUNSEITH, ND 58329-9493
(701) 364-2663
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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