Individual
EMILY ANNE ZITZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 31ST AVE S STE 104, FARGO, ND 58104-8778
(701) 364-2663
Mailing address
4522 47TH ST S APT 304, FARGO, ND 58104-4387
(218) 234-5655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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