Individual
MS. AILSA ANNE FALCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 417-4085
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1890
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1890
NORTH DAKOTA STATE BOARD OF EXAMINERS
ND
Enumeration date
10/29/2020
Last updated
09/27/2021
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