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Individual

CELESTA CARTRITE MYLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,CCC/A

Contact information

Practice address
675 WATER ST, EXCELSIOR, MN 55331-3072
(952) 925-5626
(952) 925-0223
Mailing address
675 WATER ST, EXCELSIOR, MN 55331-3072
(952) 925-5626
(952) 925-0223

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8430
MN
231HA2500X
Assistive Technology Supplier Audiologist
8430
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578649042
MN
Enumeration date
10/27/2006
Last updated
11/25/2008
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