Individual
LAURA JUNGLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
415 4TH ST N, FARGO, ND 58102-4514
(701) 446-1000
Mailing address
3209 42ND AVE S, FARGO, ND 58104-6633
(701) 235-1007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
859
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55744
—
ND
Enumeration date
10/19/2006
Last updated
04/07/2011
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