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Elliana Martin

Speech-Language Pathologist, in Saint Cloud, MN. Individual provider (NPI-1).

NPI number1053141663
StatusActive
Last updated in NPPESAug 7, 2024

Details

NPI
1053141663
Entity type
Individual (NPI-1)
Name
Elliana Martin
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 7, 2024
Certification date
Aug 7, 2024
Last updated
Aug 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

1900 Centracare Cir Ste 1575
Saint Cloud, MN 56303-5000

Phone 320-229-4922 · Fax 320-229-5183

Mailing address

1900 Centracare Cir Ste 1575
Saint Cloud, MN 56303-5000

Phone 320-229-4922 · Fax 320-229-5183

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