GILLIAN AMANDA GERVAIS FREEBORN

FARGO, ND
NPI1780025932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ND  506)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-07-16
Last Update Date2021-04-15
Business Address
Dr. GILLIAN AMANDA GERVAIS FREEBORN PsyD
2102 ELM STREET N
FARGO, ND 58102-2498
Phone number: 701-239-3700
Mailing Address
Dr. GILLIAN AMANDA GERVAIS FREEBORN PsyD
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-526-6870