Individual
MS. MARY JO SCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
290 CENTENNIAL DR STOP 8040, GRAND FORKS, ND 58202-8040
(701) 777-3727
(701) 777-4578
Mailing address
290 CENTENNIAL DR STOP 8040, GRAND FORKS, ND 58202-8040
(701) 777-3727
(701) 777-4578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51628
—
ND
Enumeration date
05/02/2007
Last updated
07/08/2007
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