Individual
NICOLE J EKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 AIRPORT DR, EAST TAWAS, MI 48730-9763
(989) 310-1603
Mailing address
1035 AIRPORT DR, EAST TAWAS, MI 48730-9763
(989) 310-1603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002972
MI
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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