Individual
DEBRA TRYTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 12TH ST W, DICKINSON, ND 58601-3511
(701) 456-7675
Mailing address
664 12TH ST W, DICKINSON, ND 58601-3511
(701) 456-7675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3390
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79099
—
ND
Enumeration date
01/22/2015
Last updated
01/22/2015
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