Individual
MRS. ROSE ELLEN JANECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
(763) 755-4261
Mailing address
3713 FOSS RD APT 8, MINNEAPOLIS, MN 55421-4514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9693
MN
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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