Jessen, Mariah Duse

Jessen, Mariah Duse is an individual health care provider with primary practice located at 3003 32Nd Ave S Suite 9, Fargo ND 58103-6163. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jessen, Mariah Duse can be contacted via phone (701) 232-2340.

Contact Information

Primary practice address
3003 32Nd Ave S Suite 9 Fargo ND 58103-6163
Phone: (701) 232-2340
Fax: (701) 232-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP38X Wyoming
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1065 North Dakota

Profile Details

NPI number 1770776783
LBN Legal business name Jessen, Mariah Duse
Credentials MS CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Feb 4th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770776783 NPPES
Wyoming MEDICAID 1770688871

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