Individual
NICOLE MARIE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
437 FOXTAIL DR, WEST FARGO, ND 58078-7964
(612) 741-6636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
098211
IA
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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