Individual
MARY CAMILLE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 20TH AVE SW STE 7, MINOT, ND 58701-6494
(701) 858-0009
(701) 838-0610
Mailing address
1408 20TH AVE SW STE 7, MINOT, ND 58701-6494
(701) 858-0009
(701) 839-0610
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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