Individual
DEIDRE BALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
415 NORTH 4TH STREET, FARGO SCHOOL DISTRICT #1, FARGO, ND 58102-4514
(701) 446-1034
Mailing address
4201 25TH ST S, FARGO, ND 58104-6800
(701) 446-3600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
592
ND
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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