Individual
KELSEY WIEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 1ST AVE S, BUFFALO, MN 55313-1409
(763) 682-7774
Mailing address
1477 N ARM DR, MOUND, MN 55364-9784
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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