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Individual

ANGIE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6776 LAKE DR STE 220, LINO LAKES, MN 55014-1192
(651) 784-7007
Mailing address
6139 PINE ST, LINO LAKES, MN 55014-2013

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10491
MN

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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