Individual
KELLI J O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAIN AVE, FARGO, ND 58103-6811
(701) 429-1455
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(800) 568-5175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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