Kellam, Maria

Kellam, Maria is an individual health care provider with primary practice located at 2800 Main Ave , Fargo ND 58103-6811. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kellam, Maria can be contacted via phone (701) 365-8868.

Contact Information

Primary practice address
2800 Main Ave Fargo ND 58103-6811
Phone: (701) 365-8868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1821634718
LBN Legal business name Kellam, Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2019
Last updated Nov 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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