Individual
MICHELLE MONTELIBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC
Contact information
Practice address
521 WEST 7TH ST., SAINT PAUL, MN 55102
(651) 225-4558
Mailing address
1548 STEPHANIE CIRCLE, EAGAN, MN 55121
(651) 452-7913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5163
MN
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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