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Individual

MISS MELANIE JAYNE HAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5486
Mailing address
9526 GANDER LN, MINNETRISTA, MN 55375-1336
(763) 229-2664

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7581
MN

Other

Enumeration date
12/19/2006
Last updated
07/28/2009
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