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Individual

BROOKE LOUISE DUVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S. ECSE

Contact information

Practice address
212 W CALEDONIA AVENUE, HILLSBORO, ND 58045-0190
(701) 636-5220
(701) 636-5221
Mailing address
P.O. BOX 190, HILLSBORO, ND 58045-0190
(701) 636-5220
(701) 636-5221

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
Primary
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467934
ND
Enumeration date
04/10/2018
Last updated
04/08/2024
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