Organization
CAROL HASSEBROEK SPEECH PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL ANN HASSEBROEK M.A., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(612) 618-1040
Entity
Organization
Contact information
Practice address
5650 W 36TH ST APT 206, #206, ST LOUIS PARK, MN 55416-2543
(612) 618-1040
Mailing address
5650 W 36TH ST APT 206, #206, ST LOUIS PARK, MN 55416-2543
(612) 610-1040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8910
MN
Other
Enumeration date
06/25/2015
Last updated
10/02/2016
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