Individual
GRETA HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
709 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4804
(651) 227-8471
Mailing address
709 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9316
MN
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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