Individual
KATELYN EIDENSCHINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 4TH ST N, FARGO, ND 58102-4514
(701) 446-1000
Mailing address
415 4TH ST N, FARGO, ND 58102-4514
(701) 446-1000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1532
ND
Other
Enumeration date
10/24/2016
Last updated
09/29/2020
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