Individual
JAYNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 COOPER AVE, GRAFTON, ND 58237-1512
(701) 352-5111
(701) 352-5060
Mailing address
516 COOPER AVE, GRAFTON, ND 58237-1512
(701) 352-5111
(701) 352-5060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4167
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50760
—
ND
05
—
79476
—
ND
Enumeration date
07/28/2014
Last updated
07/28/2014
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