Individual
JILL VAN WINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1570 WOODRIDGE LN, WEST FARGO, ND 58078-4032
(701) 281-1296
Mailing address
1570 WOODRIDGE LN, WEST FARGO, ND 58078-4032
(701) 281-1296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
748
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51710
—
ND
Enumeration date
05/21/2007
Last updated
07/08/2007
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