Individual
STEPHANIE KAY LILLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. S., CF-SLP
Contact information
Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 952-5142
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1230
ND
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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