Individual
AMANDA ENSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3464 WASHINGTON DR, SUITE 110, EAGAN, MN 55122-1453
(952) 460-4278
Mailing address
3464 WASHINGTON DR, SUITE 110, EAGAN, MN 55122-1453
(952) 460-4278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9382
MN
Other
Enumeration date
10/09/2014
Last updated
07/27/2016
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