Individual
JENNA M HAUTAMAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1101 9TH ST N, ESSENTIA HEALTH VIRGINIA CLINIC, VIRGINIA, MN 55792-2329
(218) 741-0510
Mailing address
1101 9TH ST N, ESSENTIA HEALTH VIRGINIA CLINIC, VIRGINIA, MN 55792-2329
(218) 741-0150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8774
MN
Other
Enumeration date
08/09/2012
Last updated
08/29/2017
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