Individual
REBECCA MCGILLIVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N 14TH ST, BISMARCK, ND 58501-4324
(701) 323-4400
Mailing address
712 HILLCREST DR SE, MANDAN, ND 58554-8526
(406) 465-7377
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1825
ND
Other
Enumeration date
08/18/2016
Last updated
08/20/2020
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