MRS. Jacqueline Nicole Shaft, M.S. CCC-SLP

NPI #1225184294 in Grand Forks, North Dakota

Provider Information

NPI Number
1225184294
Entity Type
Individual
Name
MRS. Jacqueline Nicole Shaft, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2400 47TH AVE S
ZIP Code
58201-3405
Phone
(701) 746-2230

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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