Individual
MARIE JOHNSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9438
Mailing address
323 SOUTH MINNESOTA, CROOKSTON, MN 56716
(218) 281-9438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5754
MN
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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