Individual
ELIZABETH DEE EKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
904 6TH AVENUE CT NE, ISANTI, MN 55040-3208
(320) 496-7612
Mailing address
2371 301ST AVE NE, ISANTI, MN 55040-6122
(320) 496-7612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9129
MN
Other
Enumeration date
12/09/2014
Last updated
12/10/2014
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