Individual
MS. STACEY NORGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(715) 828-2554
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(715) 828-2554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9408
MN
235Z00000X
Speech-Language Pathologist
SLP.0001918
CO
Other
Enumeration date
10/28/2014
Last updated
01/04/2023
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