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Individual

MRS. COLLEEN LYNN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
825 17TH AVE E, WEST FARGO, ND 58078-4274
(701) 356-2090
Mailing address
825 17TH AVE E, WEST FARGO, ND 58078-4274
(701) 356-2090

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
U63302
ND

Other

Enumeration date
04/23/2010
Last updated
04/23/2010
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