Individual
ELISE M JORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 THOMPSON AVE W, WEST ST PAUL, MN 55118-3114
(651) 259-2920
Mailing address
61 THOMPSON AVE W, WEST ST PAUL, MN 55118-3114
(651) 259-2920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8782
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/03/2012
Last updated
09/29/2025
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