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Individual

REBECCA THRASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10318 6TH ST S, FARGO, ND 58104-8116
(701) 238-3908
(701) 232-2330
Mailing address
3274 EVERGREEN RD N, FARGO, ND 58102-1217
(701) 232-2340
(701) 232-2330

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
607
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51094
ND
Enumeration date
04/06/2007
Last updated
07/08/2007
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