Individual
MRS. MARY JO SLAATHAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
20 2ND ST NW, MAYVILLE, ND 58257-1101
(701) 788-2116
Mailing address
600 ARNOLD AVE, P.O. BOX 308, PORTLAND, ND 58274-4032
(701) 788-2004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
744
ND
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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