Individual
CRYSTAL MARIE WAAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED CCC/SLP
Contact information
Practice address
683 STATE AVE, DICKINSON, ND 58601-4660
(701) 483-9400
Mailing address
1257 IDAHO AVE SE, HURON, SD 57350-3636
(605) 216-8986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2380
ND
235Z00000X
Speech-Language Pathologist
470-SLP
SD
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
07/10/2023
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