Individual
RICHARD JOEL DWORSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP CCC MA MM
Contact information
Practice address
303 1ST AVE NE, FARIBAULT, MN 55021-5268
(507) 331-3010
(507) 331-3102
Mailing address
10535 170TH ST W, KILKENNY, MN 56052-9642
(507) 210-1862
(507) 331-3102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5368
MN
Other
Enumeration date
01/07/2009
Last updated
08/31/2009
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