Individual
NICOLE THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3485 WILLOW LAKE BLVD STE 300, VADNAIS HEIGHTS, MN 55110-5155
(651) 797-4430
Mailing address
3485 WILLOW LAKE BLVD STE 300, VADNAIS HEIGHTS, MN 55110-5155
(651) 797-4430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528859
MN
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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