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Individual

MS. TAMORA A DALIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
2400 47TH AVE S, GRAND FORKS, ND 58201
(701) 746-2205
(701) 772-7739
Mailing address
PO BOX 6000, GRAND FORKS, ND 58206-6000
(701) 746-2205
(701) 772-7739

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1562
ND

Other

Enumeration date
05/09/2018
Last updated
05/09/2018
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