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Organization
SOUTHERN MINNESOTA SPEECH PATHOLOGY
Active
Organization
SOUTHERN MINNESOTA SPEECH PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DWORSKY (OWNER/PROPRIETER)
(507) 331-3010
Entity
Organization
Contact information
Practice address
303 1ST AVE NE, SUITE 375, FARIBAULT, MN 55021-5268
(507) 331-3010
(507) 262-8114
Mailing address
303 1ST AVE NE, SUITE 375, FARIBAULT, MN 55021-5268
(507) 331-3010
(507) 262-8114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5368
MN
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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