Individual
STEPHANIE FLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 11TH ST W, HASTINGS, MN 55033-3717
(651) 480-7000
Mailing address
3376 JUDD TRL, STILLWATER, MN 55082-7602
(847) 528-5038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4594-154
WI
235Z00000X
Speech-Language Pathologist
Primary
501342
MN
235Z00000X
Speech-Language Pathologist
5132
SC
Other
Enumeration date
01/22/2014
Last updated
10/02/2018
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