Individual
EMILY ROSE KUNSTLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Mailing address
30402 COUNTY ROAD 10, ALBANY, MN 56307-9404
(320) 290-3672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1415
ND
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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