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Individual

LINDA JEANNE MIX YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344-3356
(612) 364-1901
Mailing address
7900 W 28TH ST, ST LOUIS PARK, MN 55426-3011
(952) 920-8380
(952) 920-8764

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
201829
MN
235Z00000X
Speech-Language Pathologist
Primary
528912
MN

Other

Enumeration date
04/24/2013
Last updated
07/17/2024
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