Individual
ELIZABETH MARIE DEACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
Mailing address
16326 FERNANDO WAY W, ROSEMOUNT, MN 55068-1469
(920) 615-4140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
518109
MN
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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