Individual
MRS. CAITLIN MCCLUNG HIEMENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
12 1ST AVE S, BUFFALO, MN 55313-1409
(763) 682-7774
Mailing address
3328 26TH AVE S, SAINT CLOUD, MN 56301-5855
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10069
MN
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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