Individual
MRS. MANDA FLORENCE RIEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11091 JASON AVE NE STE 2, ALBERTVILLE, MN 55301-4703
(763) 744-4164
(763) 497-0679
Mailing address
4690 LANNON COURT NE, SAINT MICHAEL, MN 55376
(763) 913-4624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6308
MN
Other
Enumeration date
11/23/2016
Last updated
02/17/2020
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