Individual
MRS. SHANA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2632 LYNN AVE, ST LOUIS PARK, MN 55416-3940
(845) 521-9122
Mailing address
2632 LYNN AVE, ST LOUIS PARK, MN 55416-3940
(845) 521-9122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9823
MN
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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