| NPI | 1760240808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY HAFNER-BAKKEN Speech Language Pathologist 701-202-7723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-20 |