Individual
KELSEY JOLENE KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1770
ND
235Z00000X
Speech-Language Pathologist
427995
ND
Other
Enumeration date
09/09/2019
Last updated
03/10/2021
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