Individual
KORA J SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2600 DEMERS AVE STE 101, GRAND FORKS, ND 58201-4100
(701) 757-3045
(701) 787-4354
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1557
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1474396
—
ND
Enumeration date
04/25/2017
Last updated
01/22/2021
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