# CONNECTED COMMUNICATION THERAPY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093192593
- **Authorized official:** KENDRA ROUTH (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (218) 329-5888

## Contact information

- **Practice address:** 207 34TH AVE E, WEST FARGO, ND 58078-7975
- **Practice address phone:** (218) 329-5888
- **Mailing address:** 207 34TH AVE E, WEST FARGO, ND 58078-7975
- **Mailing address phone:** (218) 329-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 942 | ND | Yes |

## Other

- **Enumeration date:** 05/04/2015
- **Last updated:** 05/04/2015