Individual
MRS. RACHEL LYNN STOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10318 6TH ST S, FARGO, ND 58104-8116
(701) 238-3908
(701) 232-2330
Mailing address
2883 26TH STREET CIR S, MOORHEAD, MN 56560-5353
(218) 287-1184
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
8118
MN
235Z00000X
Speech-Language Pathologist
Primary
966
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51269
—
ND
Enumeration date
02/04/2007
Last updated
07/08/2007
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