Individual
AUBREE JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 1ST AVE N STE 150, MOORHEAD, MN 56560-2278
(218) 275-6602
Mailing address
1338 10TH AVE S, FARGO, ND 58103-3002
(701) 809-2064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
247200000X
Other Technician
—
—
Other
Enumeration date
10/08/2021
Last updated
04/21/2022
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