Individual
JULIA VYLETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
464 2ND ST, EXCELSIOR, MN 55331-1963
(952) 401-4242
Mailing address
464 2ND ST, EXCELSIOR, MN 55331-1963
(952) 401-4242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528850
MN
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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