Individual
JULIE A. DEFAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
500 UNIVERSITY AVE W, MINOT, ND 58707-0001
(701) 858-3030
Mailing address
500 UNIVERSITY AVE W, MINOT, ND 58707-0001
(701) 858-3030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1003
ND
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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