Individual
JENNA HORLACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 UNIVERSITY AVE W, MINOT, ND 58707-0001
(701) 858-3595
Mailing address
500 UNIVERSITY AVE W, MINOT, ND 58707-0001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1294
ND
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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