Individual
CARLY BOYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 6TH ST SE, HANKINSON, ND 58041-4200
(701) 242-7031
Mailing address
PO BOX 100, HANKINSON, ND 58041-0100
(701) 242-7031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1951
ND
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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