Individual
NICOLE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
302 14TH ST, CLOQUET, MN 55720-2102
(218) 879-6721
(218) 879-6724
Mailing address
302 14TH ST, CLOQUET, MN 55720-2102
(218) 879-6721
(218) 879-6724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
417609
MN
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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