Individual
LIANA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Mailing address
5180 LINCOLN RD APT 125, LINCOLN, ND 58504-8201
(610) 790-7788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1748
ND
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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