Individual
MRS. ANNETTE RUTH SHOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
10671 106TH AVE N, HANOVER, MN 55341-4400
(763) 498-6550
Mailing address
10671 106TH AVE N, HANOVER, MN 55341-4400
(763) 498-6550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5194
MN
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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