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Sandra Hendricksen Martire, M.S, M.B.A

Speech-Language Pathologist, in Bismarck, ND. Individual provider (NPI-1).

NPI number1154748895
StatusActive
Last updated in NPPESMar 19, 2014

Details

NPI
1154748895
Entity type
Individual (NPI-1)
Name
Miss Sandra Hendricksen Martire
Credential
M.S, M.B.A
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 19, 2014
Last updated
Mar 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,1318NDYes

Practice location

630 Oberhausen Dr
Bismarck, ND 58504-7056

Phone 701-319-1917 · Fax 701-255-4696

Mailing address

630 Oberhausen Dr
Bismarck, ND 58504-7056

Phone 701-319-1917 · Fax 701-255-4696

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