Individual
JAIME ELLEN KUPER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7466
MN
Other
Enumeration date
10/20/2006
Last updated
05/29/2008
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