Organization
CONNECTED COMMUNICATION THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA ROUTH (SPEECH-LANGUAGE PATHOLOGIST)
(218) 329-5888
Entity
Organization
Contact information
Practice address
207 34TH AVE E, WEST FARGO, ND 58078-7975
(218) 329-5888
Mailing address
207 34TH AVE E, WEST FARGO, ND 58078-7975
(218) 329-5888
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
942
ND
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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