Individual
CARRIE ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2835 W SAINT GERMAIN ST STE 300, SAINT CLOUD, MN 56301-6281
(320) 259-4151
Mailing address
2835 W SAINT GERMAIN ST STE 300, SAINT CLOUD, MN 56301-6281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7300
MN
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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