Individual
ANNIE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
904 6TH AVENUE CT NE, ISANTI, MN 55040-3208
(763) 444-8700
Mailing address
30619 WALLMARK LAKE DR, CHISAGO CITY, MN 55013-9335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10272
MN
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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