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Individual
MARTHA TEGELS
Active
Individual
MARTHA TEGELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5914
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01041419
AMERICAN SPEECH AND HEARING ASSOCIATION
—
01
—
5914
MN DEPT OF HEALTH
MN
Enumeration date
02/08/2016
Last updated
02/08/2016
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