Individual
STACEY ANN IHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
(651) 628-9335
Mailing address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
(651) 628-9335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7907
MN
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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