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Individual

MRS. COLLEEN J. HERMANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. SLP-CCC

Contact information

Practice address
126 S MAIN AVE., RUGBY, ND 58368
(701) 208-1602
Mailing address
PO BOX 194, RUGBY, ND 58368-0194
(701) 208-1602

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
871
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019015
ND
Enumeration date
02/02/2007
Last updated
07/21/2022
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