Individual
JESSICA LYNN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. SLP
Contact information
Practice address
6500 FRANCE AVE S, EDINA, MN 55435-1703
(952) 924-5000
Mailing address
6500 FRANCE AVE S, EDINA, MN 55435-1703
(952) 924-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8798
MN
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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