Individual
REBECCA JO WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 UNIVERSITY DR S, FARGO, ND 58104-6228
(701) 446-3923
Mailing address
1517 6TH ST S, FARGO, ND 58103-4211
(701) 232-1801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
711
ND
Other
Enumeration date
03/06/2008
Last updated
03/17/2010
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