Individual
KRISTA SHOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
25422 JEFFERY AVE, CHISAGO CITY, MN 55013-5021
(651) 247-9128
Mailing address
25422 JEFFERY AVE, CHISAGO CITY, MN 55013-5021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8712
MN
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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