Individual
TAMARA LYNN SODERBERG CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E 4TH ST, DULUTH, MN 55805-1936
(218) 786-4004
Mailing address
516 E 4TH ST, DULUTH, MN 55805-1936
(218) 786-4004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5694
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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