Individual
HANNAH MAE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
12400 PORTLAND AVE STE 140, BURNSVILLE, MN 55337-6805
(952) 428-0400
Mailing address
12400 PORTLAND AVE STE 140, BURNSVILLE, MN 55337-6805
(952) 428-0400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
518243
MN
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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