CHRISTINE DOTZENROD CHILDRESS

BAXTER, MN
NPI1366800377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  9472)
Enumeration Date2016-02-04
Last Update Date2016-02-04
Business Address
-- CHRISTINE DOTZENROD CHILDRESS
15620 EDGEWOOD DR STE 240
BAXTER, MN 56401-6983
Phone number: 218-454-7012
Mailing Address
-- CHRISTINE DOTZENROD CHILDRESS
309 WASHINGTON AVE
ORTONVILLE, MN 56278-1357
Phone number: 320-839-4086