Individual
MCKAYLA R BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 444-8280
(218) 444-8337
Mailing address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 444-8280
(218) 444-8337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10462
MN
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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