Individual
BRIAN PAT CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3523 45TH ST S STE 136, FARGO, ND 58104-8962
(701) 347-1782
(701) 404-8274
Mailing address
2858 RIVERS BEND DR E, WEST FARGO, ND 58078-8509
(701) 866-9934
(701) 404-8274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2530
ND
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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