Individual
ELISA SOBOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-3525
Mailing address
262 MORAB AVE, SHAKOPEE, MN 55379-4707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8371
MN
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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