Individual
MS. LORI BRAIEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2617 CHRIS HAVEN DR, MORA, MN 55051-6541
(218) 391-1862
Mailing address
200 9TH ST N, MORA, MN 55051-1147
(320) 679-6200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
397492
MN
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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