Individual
MACKENZIE ANN THORSTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6605
(218) 362-6723
Mailing address
2627 4TH AVE E, HIBBING, MN 55746-2250
(952) 406-2397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10156
MN
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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