Individual
MRS. KIMBERLY JOAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5799
Mailing address
2415 32ND ST S, FARGO, ND 58103-7813
(651) 356-2493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1706
ND
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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