Individual
ALEXANDRA GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 499-1022
Mailing address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 499-1022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1997
ND
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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