Individual
STEPH MARIE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4256 43RD ST S, FARGO, ND 58104-3937
(701) 866-7158
Mailing address
4256 43RD ST S, FARGO, ND 58104-3937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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