Individual
KRISTEN NICOLE VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
702 10TH AVE NW, DODGE CENTER, MN 55927-9172
(507) 374-2578
Mailing address
19286 JUDICIAL RD, PRIOR LAKE, MN 55372-9782
(612) 239-2599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10560
MN
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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