Individual
MS. SALENA ANN NIKOLAISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
16120 INGLEWOOD DR, LAKEVILLE, MN 55044-8768
(651) 788-1173
Mailing address
16120 INGLEWOOD DR, LAKEVILLE, MN 55044-8768
(651) 788-1173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7351
MN
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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