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Organization
ASSOCIATED SPEECH AND LANGUAGE SPECIALISTS LLC
Active
Organization
ASSOCIATED SPEECH AND LANGUAGE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET JACOBS MA CCC (CHIEF MANAGER AND CO OWNER)
(651) 639-0942
Entity
Organization
Contact information
Practice address
561 W 7TH ST, ST PAUL, MN 55102
(651) 225-4558
(651) 225-9474
Mailing address
561 W 7TH ST, ST PAUL, MN 55102
(651) 225-4558
(651) 225-9474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G054AS
BCBS
MN
Enumeration date
06/11/2006
Last updated
07/13/2015
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