ELISA LAURA DIEDERICH

GRAND FORKS, ND
NPI1376874172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ND  1102)
Enumeration Date2010-01-19
Last Update Date2010-01-19
Business Address
-- ELISA LAURA DIEDERICH
2400 47TH AVE S
GRAND FORKS, ND 58201-3405
Phone number: 701-746-2230
Mailing Address
-- ELISA LAURA DIEDERICH
1173 LANDECO LN APT 201
GRAND FORKS, ND 58201-8736
Phone number: 701-317-0331
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