Individual
MEGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
(701) 662-7690
Mailing address
500 14TH AVE NE APT 33, DEVILS LAKE, ND 58301-2819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14175190
ND
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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