Individual
AMY MARIE GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15620 EDGEWOOD DRIVE, SUITE 240, BAXTER, MN 56425
(218) 454-7012
(218) 454-7015
Mailing address
309 WASHINGTON AVENUE, ORTONVILLE, MN 56278
(320) 839-4271
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8722
MN
Other
Enumeration date
03/13/2012
Last updated
03/27/2013
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