Individual
AUTUMN RENEE KLUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-6079
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528601
MN
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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