Individual
DEERAE ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1415 MADISON AVE, DETROIT LAKES, MN 56501-4542
(218) 844-7119
(218) 844-7174
Mailing address
45154 COUNTY HIGHWAY 31, PELICAN RAPIDS, MN 56572-7541
(701) 261-3659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8759
MN
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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