Individual
ALYSSA NOELLE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 S COLUMBIA RD, GRAND FORKS, ND 58201-4015
(218) 260-3807
Mailing address
1375 S COLUMBIA RD, GRAND FORKS, ND 58201-4015
(218) 260-3807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1679
ND
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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