Organization
SHINE ON SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH JUDOVSKY (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(218) 270-8337
Entity
Organization
Contact information
Practice address
7636 DESIGN RD STE 125A, BAXTER, MN 56425-8693
(218) 270-8337
Mailing address
PO BOX 168, BRAINERD, MN 56401-0168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/07/2024
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