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Individual

RACHEL HAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
(701) 478-0221
(701) 478-0222
Mailing address
3580 50TH ST S, FARGO, ND 58104-7453
(701) 478-0221

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457217
ND
05
55307
ND
Enumeration date
10/07/2008
Last updated
08/02/2023
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