Individual
BETTY ELLINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
208 N BERG ST, BOX 24, NORTHWOOD, ND 58267-4016
(218) 779-5708
Mailing address
PO BOX 24, NORTHWOOD, ND 58267-0024
(218) 779-5708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1066
ND
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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