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Individual

MRS. SHELLEY ANN FOSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
207 2ND AVE SE, JAMESTOWN, ND 58401-4272
(701) 252-3376
Mailing address
207 2ND AVE SE, JAMESTOWN, ND 58401-4272
(701) 252-3376

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4957
ND

Other

Enumeration date
11/22/2019
Last updated
11/22/2019
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