Individual
THERESA DANIELLE BARANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
1400 MADISON AVE STE 100AA, MANKATO, MN 56001-5465
(507) 594-2600
(507) 594-4810
Mailing address
1550 JEWEL DR, WOODBURY, MN 55125-9001
(651) 278-0510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
518194
MN
Other
Enumeration date
07/13/2021
Last updated
08/10/2021
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