Individual
BRANDI MARIE JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 373-6470
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 373-6470
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ND
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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