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Individual

CASEY PAWLENTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
3130 GRIMES AVE N, ROBBINSDALE, MN 55422-3217
(763) 588-0771
Mailing address
2123 CLIFFVIEW DR, EAGAN, MN 55122-2380
(651) 329-5926

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9421
MN

Other

Enumeration date
03/19/2015
Last updated
04/03/2019
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