Individual
KRISTIN ANN BRODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
(701) 662-7690
Mailing address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
(701) 662-7690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1511
ND
Other
Enumeration date
07/20/2016
Last updated
05/22/2020
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