Individual
DIANE RENEE AANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
501 N COLUMBIA RD STOP 7132, GRAND FORKS, ND 58203-2817
(701) 777-3745
Mailing address
501 N COLUMBIA RD STOP 7132, GRAND FORKS, ND 58203-2817
(701) 777-3745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1626
ND
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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