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Individual

STEFANIE R KAISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSCCCSLP

Contact information

Practice address
1313 30TH AVE S STE A, MOORHEAD, MN 56560-5106
(218) 284-3713
Mailing address
1313 30TH AVE S STE A, MOORHEAD, MN 56560-5106

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
331714
MN
235Z00000X
Speech-Language Pathologist
842
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54115
ND
Enumeration date
05/31/2007
Last updated
05/01/2026
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