Individual
KATELYN LOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 15TH AVE S, FARGO, ND 58103-8993
(701) 356-8360
Mailing address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 356-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1583
ND
Other
Enumeration date
06/29/2017
Last updated
01/24/2025
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