| NPI | 1265296065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH L SPENCER Speech Language Pathologist 218-849-3986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |