Individual
PAIGE JOANN ROBILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7288
Mailing address
904 EAGLEWOOD AVE, WEST FARGO, ND 58078-8449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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