Individual
LECIA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 COLFAX AVE SW, WADENA, MN 56482-1444
(218) 632-2365
Mailing address
118 SUMMIT AVE, WADENA, MN 56482-2404
(218) 330-0041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
708245-0008
MN
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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