Individual
ANN L WOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
1946 FAIRVIEW AVE N, ROSEVILLE, MN 55113-5421
(651) 647-1106
Mailing address
1946 FAIRVIEW AVE N, ROSEVILLE, MN 55113-5421
(651) 647-1106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6068
MN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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