Individual
DR. MARIAH DAWN LAVER JUANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2100 S COLUMBIA RD, SUITE 202, GRAND FORKS, ND 58201-5895
(701) 772-1588
Mailing address
2100 S COLUMBIA RD, SUITE 202, GRAND FORKS, ND 58201-5895
(701) 772-1588
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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