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Individual

REBECCA LOU LIEF-KUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
4761 COFFEE LAKE RD, MOOSE LAKE, MN 55767-9207
(218) 341-0212
Mailing address
4761 COFFEE LAKE RD, MOOSE LAKE, MN 55767-9207
(218) 341-0212

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00115741
MN

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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