Individual
JESSICA ANN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1202 23RD ST S, FARGO, ND 58103-2951
(701) 293-5429
(107) 293-0736
Mailing address
1202 23RD ST S, FARGO, ND 58103-2951
(701) 293-5429
(107) 293-0736
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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