Individual
CASSANDRA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
300 BOOTH AVE, LARIMORE, ND 58251-4410
(701) 343-2249
Mailing address
516 COOPER AVE STE 102, GRAFTON, ND 58237-1512
(701) 352-2574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1875
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1975
—
ND
Enumeration date
08/16/2021
Last updated
08/16/2021
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