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1003934878
KELLI KATHARINA ELLENBAUM
BISMARCK, ND
NPI
1003934878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 862)
Enumeration Date
2007-03-27
Last Update Date
2021-03-15
Business Address
Mrs. KELLI KATHARINA ELLENBAUM MS, CCC-SLP
2625 N 19TH ST
BISMARCK, ND 58503-0574
Phone number: 701-222-3175
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Mailing Address
Mrs. KELLI KATHARINA ELLENBAUM MS, CCC-SLP
2625 N 19TH ST
BISMARCK, ND 58503-0574
Phone number: 701-222-3175
Copy
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