Individual
EMILY THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
943 9TH AVE SW, FOREST LAKE, MN 55025-1761
(651) 982-3156
Mailing address
276 LITTLE JOHN DR, CIRCLE PINES, MN 55014-1722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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