Individual
JILLIAN AILEEN BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
3960 COON RAPIDS BLVD NW STE 104, COON RAPIDS, MN 55433-2521
(763) 421-8443
Mailing address
9835 WALNUT GROVE LN N, MAPLE GROVE, MN 55311-1702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528628
MN
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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