Individual
MRS. ALYSSE ZITTNAN THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3001 HARBOR LN. N., SUITE 120, PLYMOUTH, MN 55447
(763) 551-3652
(763) 551-1334
Mailing address
3001 HARBOR LN. N., SUITE 120, PLYMOUTH, MN 55447
(763) 551-3652
(763) 551-1334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
452620
MN
Other
Enumeration date
08/03/2011
Last updated
08/19/2014
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