Individual
THOMAS JOHN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2495 MAPLEWOOD DR, SUITE 313, MAPLEWOOD, MN 55109
(651) 770-8884
Mailing address
12555 PENNOCK AVE APT 320, APPLE VALLEY, MN 55124-6073
(218) 820-1475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528621
MN
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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