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Individual

LAURA LOUISE TOUTGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS/CCC-SLP

Contact information

Practice address
1029 14TH STREET NORTH, FARGO, ND 58102
(701) 298-9037
Mailing address
1029 14TH STREET NORTH, FARGO, ND 58102
(701) 298-9037

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
458
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51423
ND
01
TOU23263
BC/BS PROVIDER NUMBER
ND
Enumeration date
10/05/2006
Last updated
07/09/2007
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