Most Relevant Information
Provider Data
| NPI Number: | 1003494824 |
| Provider Name: | JASMIN DENAE ENOCKSON M.S. SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 1853 |
Most Important Dates
| Enumeration Date: | 04/01/2021 |
| Last Updated: | 04/01/2021 |
Provider Practice Location
45 SUMMER STREET
NEW TOWN
ND
58763
Practice Location Phone/Fax
| Phone: | 7016296949 |
| Fax: |
Provider Mailing Location
PO BOX 1734
STANLEY
ND
587841731
Provider Mailing Phone/Fax
| Phone: | 7016296949 |
| Fax: |