Individual
ANN VANDERBILT LUETHMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
23602 69TH AVE, SAINT AUGUSTA, MN 56301-9225
(952) 212-0468
Mailing address
23602 69TH AVE, SAINT AUGUSTA, MN 56301-9225
(952) 212-0468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528502
MN
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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