Individual
DEBORAH LOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1307 7TH ST N, WAHPETON, ND 58075-3624
(763) 689-5385
Mailing address
321 17TH AVE N, WAHPETON, ND 58075-3426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
313
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23463
BCBS
ND
05
—
52974
—
ND
Enumeration date
09/28/2006
Last updated
07/08/2007
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