Individual
ANNA LEE KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 42ND ST S, FARGO, ND 58104-3906
(605) 214-5778
Mailing address
1902 16TH ST S, FARGO, ND 58103-4833
(605) 214-5778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2090
ND
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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