Individual
KELSEY SKUNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
(701) 212-7652
Mailing address
2720 47TH ST S APT 120, FARGO, ND 58104-9155
(701) 212-7652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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