Individual
STEPHANIE KRISTINE RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-6079
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 760-3888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9479
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9479
MN LICENSE
MN
Enumeration date
06/11/2015
Last updated
02/16/2024
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