Individual
ALLEGRA MARIAH BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ANNE CARLSEN, 2800 MAIN AVE, FARGO, ND 58103-6811
(701) 364-2663
Mailing address
ANNE CARLSEN, 2800 MAIN AVE, FARGO, ND 58103-6811
(701) 364-2663
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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