Individual
AZMINA VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6693 TIMBER RIDGE LANE CT, COTTAGE GROVE, MN 55016-6100
(651) 353-0634
Mailing address
6693 TIMBER RIDGE LANE CT, COTTAGE GROVE, MN 55016-6100
(651) 353-0634
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3993-154
WI
235Z00000X
Speech-Language Pathologist
Primary
9318
MN
Other
Enumeration date
02/05/2015
Last updated
07/07/2020
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