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Individual

MACKENZIE WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC, SLP

Contact information

Practice address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-6977
Mailing address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-6977

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9805
MN

Other

Enumeration date
05/31/2016
Last updated
01/04/2018
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