Individual
BRIANNA CIACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7241 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 450-9400
Mailing address
12790 PRIMROSE LN APT 106, EDEN PRAIRIE, MN 55344-7632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528380
MN
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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