Individual
JESSICA LEIGH ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 5TH AVE N, SAUK RAPIDS, MN 56379-1734
(320) 293-7396
Mailing address
408 5TH AVE N, SAUK RAPIDS, MN 56379-1734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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