Individual
MRS. KELLY MARIE ROSENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
100 3RD AVE S, CARRINGTON, ND 58421-2263
(701) 652-3136
Mailing address
16 8TH ST S, NEW ROCKFORD, ND 58356-1520
(701) 947-5015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1751
ND
Other
Enumeration date
08/07/2019
Last updated
08/10/2022
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