Individual
ALYCE A. WIEMKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
2810 PARKVIEW CIR S, FARGO, ND 58103-7849
(701) 298-9767
Mailing address
2810 PARKVIEW CIR S, FARGO, ND 58103-7849
(701) 298-9767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
496
ND
Other
Enumeration date
08/12/2007
Last updated
08/12/2007
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