Individual
JESSICA SUSAN KUEHLWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 BEAM AVE, MAPLEWOOD, MN 55109-1404
(651) 795-8855
Mailing address
2218 BEAM AVE, MAPLEWOOD, MN 55109-1404
(651) 795-8855
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9455
MN
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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