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Individual

ALEXANDRIA TAYLOR LUCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
1421 W 143RD ST APT 110, BURNSVILLE, MN 55306-4900
(712) 380-2916

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10230
MN

Other

Enumeration date
01/25/2021
Last updated
10/30/2023
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