| NPI | 1396033635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA L JOHANSEN CEO 218-368-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8446) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |