Individual
MS. MARGARET ELIZABETH DVERGSTEN-KITZROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6542 KINGFISHER LN, EDEN PRAIRIE, MN 55346-1830
(712) 291-6721
Mailing address
6542 KINGFISHER LN, EDEN PRAIRIE, MN 55346-1830
(712) 291-6721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
002172
IA
235Z00000X
Speech-Language Pathologist
Primary
9629
MN
235Z00000X
Speech-Language Pathologist
SP24499
CA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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