Individual
AMBER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S WASHINGTON ST., GRAND FORKS, ND 58201
(701) 757-4200
Mailing address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-31401
ND
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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