Individual
MICHAELA RAE STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
ND STATE BOARD OF EXAMINERS
—
Enumeration date
05/17/2018
Last updated
12/14/2020
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