Individual
ABBY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3001 11TH ST S, FARGO, ND 58103-6048
(701) 356-0062
(701) 356-5412
Mailing address
3001 11TH ST S, FARGO, ND 58103-6048
(701) 356-0062
(701) 356-5412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2098
ND
235Z00000X
Speech-Language Pathologist
528446
MN
Other
Enumeration date
06/13/2022
Last updated
05/18/2023
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