Individual
BREANNA MORITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E INTERSTATE AVE, BISMARCK, ND 58503-1226
(701) 751-1125
Mailing address
6420 SULLY DR, BISMARCK, ND 58504-3109
(701) 202-4673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2616
ND
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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