| NPI | 1093192593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA ROUTH Speech Language Pathologist 218-329-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: ND 942) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |