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Individual

ASHLEY HYSTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6970
(701) 234-7391
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1089
ND

Other

Enumeration date
10/02/2014
Last updated
01/11/2021
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