Individual
JALYN MARIE DUTTENHEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S 43RD ST APT 1136C, GRAND FORKS, ND 58201-3953
(701) 425-2582
Mailing address
750 S 43RD ST APT 1136C, GRAND FORKS, ND 58201-3953
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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