Individual
DR. BILL J DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 CENTER AVE STE 7, MOORHEAD, MN 56560-1962
(701) 241-9281
(701) 298-8321
Mailing address
420 CENTER AVE STE 7, MOORHEAD, MN 56560-1962
(701) 241-9281
(701) 298-8321
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP1881
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455056
—
ND
Enumeration date
05/21/2007
Last updated
11/24/2015
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