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Individual

NANCY J BETHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
4444 RESERVOIR BLVD, COLUMBIA HEIGHTS, MN 55421-3255
(952) 955-2242
(952) 955-2010
Mailing address
200 LEWIS AVE S, STE#210, WATERTOWN, MN 55388-4545
(952) 955-2242
(952) 955-2010

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5687
MN

Other

Enumeration date
12/28/2012
Last updated
12/28/2012
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