Individual
MACKENZIE ECKRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 SOUTH UNIVERSITY DRIVE, FARGO, ND 58103
(701) 417-4068
Mailing address
1720 SOUTH UNIVERSITY DRIVE, FARGO, ND 58103
(701) 417-4068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
10/29/2024
Last updated
10/29/2024
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