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Individual

JENNIFER FLESCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MACCCSLP

Contact information

Practice address
14635 PENNOCK AVE, SUITE 300, APPLE VALLEY, MN 55124-6430
(952) 997-2823
(952) 997-6931
Mailing address
4058 DEERWOOD TRL, EAGAN, MN 55122-1889
(651) 994-9644
(651) 994-8962

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7007
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123448000
MN
01
4600874
MEDICA
MN
01
96359F1
BCBS
MN
01
HP34799
HEALTH PARTNERS
MN
Enumeration date
02/07/2007
Last updated
11/30/2015
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