Individual
BAILEY GERVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 N WASHINGTON ST STE GG, BISMARCK, ND 58501-1669
(701) 751-2315
Mailing address
1929 N WASHINGTON ST STE GG, BISMARCK, ND 58501-1669
(701) 751-2315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00000
ND
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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