Individual
SARA WANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1000 E CALGARY AVE STE 1, BISMARCK, ND 58503-5648
(701) 355-6044
Mailing address
5143 REDCOAT LOOP, BISMARCK, ND 58503-7865
(701) 426-6565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1953
ND
Other
Enumeration date
06/01/2021
Last updated
09/02/2022
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