| NPI | 1023416534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WOLLAN Speech Language Pathologist 701-866-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 955) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |