Individual
KELLY MAY MINGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1402 LILLE CT, FRANKLIN, TN 37067-8584
(612) 816-8950
Mailing address
2640 WINDSOR LN, WOODBURY, MN 55125-2792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6668
TN
235Z00000X
Speech-Language Pathologist
8472
MN
Other
Enumeration date
11/23/2010
Last updated
12/21/2018
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