Individual
JADEE HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14635 PENNOCK AVE STE 300, APPLE VALLEY, MN 55124-6588
(651) 994-9644
Mailing address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9879
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9879
SPEECH AND LANGUAGE LICENSE
MN
Enumeration date
05/17/2018
Last updated
09/26/2022
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