Individual
KELLY JEAN RITTER BRUNSVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9006
Mailing address
803 VIKING DR, MARSHALL, MN 56258-3400
(507) 828-3703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8414
MN
Other
Enumeration date
09/22/2011
Last updated
10/15/2024
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