Individual
MARISSA ANN LENERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3960 COON RAPIDS BLVD NW STE 123, COON RAPIDS, MN 55433-2521
(763) 236-7337
Mailing address
3960 COON RAPIDS BLVD NW STE 123, COON RAPIDS, MN 55433-2521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528430
MN
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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