Individual
COURTNEY ELLERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
516 COOPER AVE, GRAFTON, ND 58237-1512
(701) 352-2574
(701) 352-0188
Mailing address
PO BOX 272, GRAFTON, ND 58237-0272
(701) 352-2574
(701) 352-0188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1371
ND
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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