| NPI | 1891952644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LEE JOHANSEN Speech Language Pathologist 218-854-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 250269) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |