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Individual

MRS. MISTY JO STOCKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
986 2ND AVE W, DICKINSON, ND 58601-3916
(700) 140-0889
Mailing address
201 14TH ST NW, MANDAN, ND 58554-2063
(701) 663-4274

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
991
ND

Other

Enumeration date
08/05/2007
Last updated
09/23/2015
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