| NPI | 1396167987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO WEBB CALDWELL President 612-803-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9068) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2021-11-01 |