Individual
MS. RAECHEL M DESCOMBAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
1879 PORTLAND AVE, #2, SAINT PAUL, MN 55104-5956
(612) 388-1235
Mailing address
1879 PORTLAND AVE, #2, SAINT PAUL, MN 55104-5956
(612) 388-1235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8100
MN
Other
Enumeration date
09/15/2006
Last updated
02/25/2009
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