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Individual

EMILY JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
(763) 755-4275
Mailing address
2190 HAZEL ST N, MAPLEWOOD, MN 55109-2709

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8854
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8854
MINNESOTA DEPARTMENT OF HEALTH
MN
Enumeration date
09/15/2011
Last updated
01/19/2016
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