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Organization
BEYOND BRAIN INJURY
Active
Organization
BEYOND BRAIN INJURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LAINHART MS, CCC-SLP, CBIS (EXECUTIVE DIRECTOR)
(612) 384-1007
Entity
Organization
Contact information
Practice address
7587 KIMBERLY LN, EDEN PRAIRIE, MN 55346-4259
(612) 384-1007
Mailing address
7587 KIMBERLY LN, EDEN PRAIRIE, MN 55346-4259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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