Individual
NICOLE L NEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9172
(507) 537-2729
Mailing address
1108 HACKBERRY DR APT 5, MARSHALL, MN 56258-3112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9959
MN
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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