Individual
JILL MARIE PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC SLP
Contact information
Practice address
2495 MAPLEWOOD DR, SUITE 313, MAPLEWOOD, MN 55109-1984
(651) 770-8884
Mailing address
N7938 COUNTY RD W, RIVER FALLS, WI 54022-4254
(715) 425-5362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8640
MN
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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