Individual
NANCY JOHNSON-SEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 UNIVERSITY DR S, FARGO, ND 58104-6228
(701) 446-3934
Mailing address
415 4TH ST N, FARGO, ND 58102-4514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
653
ND
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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