Individual
CARIN SOUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 1ST AVE NE, HAZEN, ND 58545-1005
(701) 748-6383
Mailing address
PO BOX 1005, HAZEN, ND 58545-1005
(701) 748-6383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
646
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51532
—
ND
Enumeration date
01/30/2007
Last updated
01/21/2015
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