Individual
THERESA ENNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 2ND AVE NE, VALLEY CITY, ND 58072-3061
(701) 269-4419
Mailing address
415 2ND AVE NE, VALLEY CITY, ND 58072-3061
(701) 269-4419
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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