Individual
JENNIFER WOESSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9048 PEONY LN N, MAPLE GROVE, MN 55311-4417
(763) 416-9313
(763) 416-4530
Mailing address
5109 VALLEY VIEW RD, EDINA, MN 55436-2644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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