Individual
COURTNEY SANOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304
(763) 755-4275
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP10264
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497299499
—
MN
05
—
819797
—
AZ
Enumeration date
12/09/2016
Last updated
04/05/2021
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