Individual
ONA BALCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
1766 HUMBOLDT AVE S APT 2, MINNEAPOLIS, MN 55403-2851
(612) 532-4458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9684
MN
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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