Individual
MACKENZIE M WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
141 3RD ST W STE 5, DICKINSON, ND 58601-5150
(701) 590-9116
Mailing address
2212 3RD ST W, DICKINSON, ND 58601-2414
(701) 590-9116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1565
ND
Other
Enumeration date
05/17/2017
Last updated
09/21/2020
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