Individual
SAMANTHA MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 1ST STREET, MADDOCK, ND 58348
(701) 438-2531
Mailing address
801 5TH AVE NE, DEVILS LAKE, ND 58301-2202
(701) 662-7690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
000425056
ND
235Z00000X
Speech-Language Pathologist
Primary
1613
ND
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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