JACKIE MIDGARDEN

GRAFTON, ND
NPI1114050465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ND  434)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
Mrs. JACKIE MIDGARDEN SLP
830 W 15TH ST
GRAFTON, ND 58237-2055
Phone number: 701-352-1739
Mailing Address
Mrs. JACKIE MIDGARDEN SLP
701 W 6TH ST
GRAFTON, ND 58237-1379
Phone number: 701-352-2574