Individual
JACQUELINE ELIZABETH ERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1772 STIEGER LAKE LN, VICTORIA, MN 55386-7723
(952) 443-9888
Mailing address
2605 BOBOLINK RD, LONG LAKE, MN 55356-9267
(612) 619-0726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
518182
MN
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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