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Individual

ELLIE THORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 499-1022
Mailing address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 499-1022
(701) 352-0188

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1594
ND
235Z00000X
Speech-Language Pathologist
Primary
1935
ND

Other

Enumeration date
10/10/2017
Last updated
11/15/2021
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