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Individual

JACQUELINE BAVARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
224 4TH ST NW STE 5, DEVILS LAKE, ND 58301-2960
(701) 664-6776
(701) 662-6889
Mailing address
1201 25TH ST S, PO BOX 9859, FARGO, ND 58103-2311
(701) 662-6776
(701) 662-6889

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2975
ND

Other

Enumeration date
02/23/2010
Last updated
04/19/2026
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