Individual
KERI A HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-4481
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9606
MN
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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