Individual
LAURA WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
703 LAUREL AVE, APT 4E, SAINT PAUL, MN 55104-7171
(952) 201-8284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9440
MN
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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