Individual
MCKENZIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S UNIVERSITY, FEEDING DISORDERS 3RD FLOOR, FARGO, ND 58103
(701) 417-5294
Mailing address
1717 S UNIVERSITY, FEEDING DISORDERS 3RD FLOOR, FARGO, ND 58103
(701) 417-5294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60487421
WA
Other
Enumeration date
07/15/2013
Last updated
12/07/2019
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