Individual
MR. JEROME MARCOUILLER QUELLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-3200
Mailing address
640 JACKSON STREET, MAIL STOP 11102D REGIONS HOSPITAL, SAINT PAUL, MN 55101
(651) 254-9281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6362
MN
Other
Enumeration date
03/14/2007
Last updated
03/11/2021
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