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Individual

ANNA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
5825 SAINT CROIX AVE N, GOLDEN VALLEY, MN 55422-4419
(612) 405-5301
Mailing address
704 4TH AVE NE, BARNESVILLE, MN 56514-3325
(218) 329-4856

Taxonomy

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

Other

Enumeration date
04/22/2024
Last updated
04/22/2024
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