Individual
ANNA UDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 MAPLEWOOD DR STE 313, MAPLEWOOD, MN 55109-1985
(651) 770-8884
Mailing address
2078 LINCOLN AVE LOWR UNIT, SAINT PAUL, MN 55105-1043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10198
MN
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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