Individual
ANNA JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 757-4200
Mailing address
2200 S 34TH ST APT 501, GRAND FORKS, ND 58201-5761
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24332901
ND
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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