Individual
PAGE HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
15590 90TH ST NE, OTSEGO, MN 55330-9452
(763) 755-4275
(763) 755-4261
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
(763) 755-4275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9553
MN
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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