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Individual

CAROLINE ANN CLAUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1772 STEIGER LAKE LN, VICTORIA, MN 55386-7723
(952) 443-9888
(952) 443-9804
Mailing address
1772 STEIGER LAKE LN, VICTORIA, MN 55386-7723
(952) 443-9888
(952) 443-9804

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9725
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001442700
MN
01
017J6KI
BCBS
MN
01
1311578
ARAZ/AMERICA'S PPO/CIGNA
MN
01
16154051
PT CARE
MN
01
169036
UCARE
MN
01
565581028804
PREFERRED ONE
MN
01
76842
HEALTH PARTNERS
MN
Enumeration date
11/22/2017
Last updated
06/16/2018
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