Individual
ANNA ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 W 106TH ST, BLOOMINGTON, MN 55431-4152
(952) 681-6400
Mailing address
1350 W 106TH ST, BLOOMINGTON, MN 55431-4152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14502192
MN
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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