SHAUNA LYNN DETIENNE

GRAND FORKS, ND
NPI1538364070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ND  603)
Enumeration Date2007-06-15
Last Update Date2007-07-08
Business Address
-- SHAUNA LYNN DETIENNE MS, CCC-SLP
2951 S 34TH ST
GRAND FORKS, ND 58201-6061
Phone number: 701-772-3851
Mailing Address
-- SHAUNA LYNN DETIENNE MS, CCC-SLP
5760 PINEHURST CT
GRAND FORKS, ND 58201-2812
Phone number: 701-795-2531
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