Individual
JOLENE GERMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
(218) 287-5928
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38492
—
103K00000X
Behavior Analyst
L61
ND
174400000X
Specialist
—
—
Other
Enumeration date
06/17/2013
Last updated
06/30/2022
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