Individual
MISS SANDRA HENDRICKSEN MARTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, M.B.A
Contact information
Practice address
630 OBERHAUSEN DR, BISMARCK, ND 58504-7056
(701) 319-1917
(701) 255-4696
Mailing address
630 OBERHAUSEN DR, BISMARCK, ND 58504-7056
(701) 319-1917
(701) 255-4696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1318
ND
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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