Individual
JOAN C WALDSCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC
Contact information
Practice address
3001 HARBOR LN N, PLYMOUTH, MN 55447-5102
(763) 551-3652
Mailing address
9267 TEWSBURY GROVE NORTH, MAPLE GROVE, MN 55311
(763) 494-9425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5594
MN
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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