Individual
LESLIE WILDTRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 2ND ST S, WAITE PARK, MN 56387-2325
(320) 370-8000
Mailing address
1201 2ND ST S, WAITE PARK, MN 56387-2325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
455013
MN
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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