Individual
TRACY JOY BRYNELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TSLP
Contact information
Practice address
3030 92ND AVE NE, BLAINE, MN 55449-5624
(651) 269-5055
Mailing address
3030 92ND AVE NE, BLAINE, MN 55449-5624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8982
MN
235Z00000X
Speech-Language Pathologist
TSLP6883
AZ
Other
Enumeration date
09/01/2010
Last updated
11/13/2023
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