Individual
MISCHELLE BLENKUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10831 PINE RD NE, FOLEY, MN 56329-9316
(320) 248-2082
Mailing address
10831 PINE RD NE, FOLEY, MN 56329-9316
(320) 248-2082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7810
MN
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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