Individual
ROSANNE LYSNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18055 79 1/2 ST SE, WAHPETON, ND 58075-9340
(701) 642-3375
Mailing address
18055 79 1/2 ST SE, WAHPETON, ND 58075-9340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1328
ND
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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