Individual
MISS BRIANN RAE JENNISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
14050 NICOLLET AVE, BURNSVILLE, MN 55337
(952) 993-6800
Mailing address
1133 RANKIN ST, SUITE 221, SAINT PAUL, MN 55116-3141
(651) 222-7768
(651) 698-8994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9402
MN
Other
Enumeration date
03/05/2015
Last updated
07/03/2018
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