Individual
AMANDA NORDBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W BEATON DR STE 105, WEST FARGO, ND 58078-2653
(701) 261-4643
Mailing address
321 25TH AVE N, FARGO, ND 58102-1934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1273
ND
Other
Enumeration date
09/26/2014
Last updated
11/17/2022
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