Individual
BRITTANY WICKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
Mailing address
19388 DODGE ST NW, ELK RIVER, MN 55330-2899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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