Individual
JENNA DOBERVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
Mailing address
1201 25TH ST S, PO BOX 9859, FARGO, ND 58103-2311
(701) 451-4900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
710-2-1-12A
ND
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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