Individual
MADISON SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1954
ND
Other
Enumeration date
06/04/2021
Last updated
05/24/2022
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