Individual
ANITA RAE KLENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 WALNUT ST, GRAND FORKS, ND 58201-4835
(701) 240-8905
Mailing address
701 WALNUT ST, GRAND FORKS, ND 58201-4835
(701) 240-8905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1282
ND
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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