Individual
MRS. KYLIE ELIZABETH EBELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
930 2ND ST, DODGE, NE 68633-3555
(402) 693-2212
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1472
NE
Other
Enumeration date
06/05/2016
Last updated
06/05/2016
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