Individual
MACKENZIE TORGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 1ST ST, MAPLETON, ND 58059-9605
(701) 446-3187
Mailing address
300 1ST ST, MAPLETON, ND 58059-9605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1824
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480274
—
ND
Enumeration date
07/15/2020
Last updated
01/04/2021
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