Individual
KRYSTLE SHANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1350 SAINT PETER ST, DELANO, MN 55328-2837
(763) 688-0353
Mailing address
15127 81ST ST NE, OTSEGO, MN 55330-4558
(763) 688-0353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8348
MN
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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