Individual
REBECCA ANN KRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W BROADWAY, WILLISTON, ND 58801-6056
(701) 774-6309
Mailing address
110 W BROADWAY, WILLISTON, ND 58801-6056
(701) 774-6309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5778
ND
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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