Individual
JULIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 45TH ST S, FARGO, ND 58104-8970
(701) 356-4384
Mailing address
624 COLUMBIA COURT LN, GRAND FORKS, ND 58203-7507
(701) 520-8204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L152
ND
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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