Individual
MISS CHRISTINA BRACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 WASHINGTON AVE N APT 529, MINNEAPOLIS, MN 55401-2745
(501) 922-7780
Mailing address
337 WASHINGTON AVE N APT 529, MINNEAPOLIS, MN 55401-2745
(501) 922-7780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9852
MN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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