Individual
GWEN GENEEN WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-A
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2923
(218) 262-3441
(218) 362-6989
Mailing address
3605 MAYFAIR AVE, HIBBING, MN 55746-2923
(218) 262-3441
(218) 362-6989
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7051
MN
237700000X
Hearing Instrument Specialist
7051
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7051
AUDIOLOGY LICENSE
MN
Enumeration date
05/17/2006
Last updated
10/06/2008
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