Individual
JEANNIE RAE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3200 HIGHWAY 100 S, ST LOUIS PARK, MN 55416-2175
(651) 380-9959
Mailing address
3200 HIGHWAY 100 S, ST LOUIS PARK, MN 55416-2175
(651) 380-9959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14280836
MN
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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