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Organization

CREATING SOULCIAL CONNECTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DANA LYNN HAYES MA CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(612) 240-4699
Entity
Organization

Contact information

Practice address
4645 PARK COMMONS DR APT 503, ST LOUIS PARK, MN 55416-4173
(612) 240-4699
Mailing address
5115 EXCELSIOR BLVD STE 720, ST LOUIS PARK, MN 55416-2906
(612) 352-9905

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
11/11/2024
Last updated
11/11/2024
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