Individual
KATHRYN MARIE TUBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
800 EAST 28TH STREET, MINNEAPOLIS, MN 55407
(612) 863-4407
(612) 863-6299
Mailing address
1144 101ST AVE NE UNIT A, BLAINE, MN 55434-3861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7633
MN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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