Individual
HANNAH ROSE COSKRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 COUNTY ROAD E E # 102, WHITE BEAR LAKE, MN 55110-4906
(651) 683-2953
Mailing address
2555 COUNTY ROAD E E # 102, WHITE BEAR LAKE, MN 55110-4906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/25/2022
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