Individual
TARA L NOGOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 NORTH MAIN STREET, GWINNER, ND 58040-0586
(701) 678-2244
(701) 678-2210
Mailing address
11 NORTH MAIN STREET, GWINNER, ND 58040-0586
(701) 678-2244
(701) 678-2210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
911
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51065
—
ND
Enumeration date
07/25/2006
Last updated
07/09/2007
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