Individual
JESSICA KATHLEEN BRAUNBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
215 2ND ST SE, MINOT, ND 58701-3924
(701) 857-4400
Mailing address
215 2ND ST SE, MINOT, ND 58701-3924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1741
ND
Other
Enumeration date
05/20/2019
Last updated
06/21/2019
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