Individual
CARRIE NORTHWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 BRIDGE AVE STE 300, ALBERT LEA, MN 56007-2098
(605) 541-1140
(605) 541-0109
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6321
MN
Other
Enumeration date
02/07/2013
Last updated
03/08/2022
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