Individual
PAULA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ARNOLD AVE, PORTLAND, ND 58274-4032
(701) 788-2004
Mailing address
PO BOX 308, PORTLAND, ND 58274-0308
(701) 788-2004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2288
ND
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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