Individual
ERICA MOGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 WAKEFIELD ST, LAUREL, NE 68745-1743
(402) 256-3133
Mailing address
304 W 2ND ST, LAUREL, NE 68745-1979
(402) 841-7959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
770
NE
Other
Enumeration date
06/30/2020
Last updated
08/31/2021
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