Individual
JESSICA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4215 31ST AVE S STE A, FARGO, ND 58104-7743
(701) 478-0221
Mailing address
4420 CALICO DR S APT 306, FARGO, ND 58104-5580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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