Individual
MRS. JESSICA TIFFANY ABERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
5870 WYDOWN DR, GRAND FORKS, ND 58201-3213
(630) 456-2432
Mailing address
5870 WYDOWN DR, GRAND FORKS, ND 58201-3213
(630) 456-2432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1908
ND
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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