AUTUMN KALLOCK

EAST GRAND FORKS, MN
NPI1538905427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ND  2656)
Enumeration Date2024-07-01
Last Update Date2026-04-14
Business Address
AUTUMN KALLOCK
1420 4TH AVE NW
EAST GRAND FORKS, MN 56721-1522
Phone number: 218-773-3494
Mailing Address
AUTUMN KALLOCK
2951 S 34TH ST
GRAND FORKS, ND 58201-6061
Phone number: 701-772-3851