Individual
MCKENNA THIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 951-9029
Mailing address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 951-9029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2676
ND
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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