Individual
TALLIE NITSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1896, JAMESTOWN, ND 58402-1896
(701) 252-3376
Mailing address
PO BOX 1896, JAMESTOWN, ND 58402-1896
(701) 252-3376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2740
ND
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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