Individual
MARA LOGERQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 275-3325
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5094
WI
235Z00000X
Speech-Language Pathologist
Primary
518289
MN
Other
Enumeration date
09/16/2020
Last updated
03/10/2022
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