Individual
LOGAN WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 417-4085
Mailing address
2714 41ST ST S APT 406, FARGO, ND 58104-9148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2396
ND
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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