Individual
LESLIE CAROL LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
227 16TH ST W, SUITE 100, DICKINSON, ND 58601-4660
(701) 225-0767
(701) 225-7123
Mailing address
786 ALBANY ST, DELTA, CO 81416-6401
(701) 590-2598
(701) 225-7123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
890
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24573
BLUE CROSS
ND
05
—
54839
—
ND
Enumeration date
09/28/2006
Last updated
08/21/2024
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