Individual
KATHIE STILLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 N WASHINGTON ST, BISMARCK, ND 58501-3623
(701) 323-4028
Mailing address
806 N WASHINGTON ST, BISMARCK, ND 58501-3623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52082
—
ND
Enumeration date
10/18/2007
Last updated
08/20/2012
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