Individual
MRS. KALLIE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 417-4085
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 367-2162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1296
ND
Other
Enumeration date
09/25/2014
Last updated
10/01/2014
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