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Organization

PALADIN ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEISA IRWIN DIRECTOR (DIRECTOR)
(763) 786-4798
Entity
Organization

Contact information

Practice address
308 NORTHTOWN DR. NE, BLAINE, MN 55434
(763) 786-4799
(763) 786-4798
Mailing address
308 NORTHTOWN DR. NE, BLAINE, MN 55434
(763) 786-4799
(763) 786-4798

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
190106
MN

Other

Enumeration date
11/05/2013
Last updated
11/05/2013
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