Individual
SANDRA DIANE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3633 10TH AVE N, GRAND FORKS, ND 58203-2006
(701) 795-9721
Mailing address
3633 10TH AVE N, GRAND FORKS, ND 58203-2006
(701) 795-9721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
924
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51471
—
ND
Enumeration date
09/27/2007
Last updated
09/27/2007
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