Individual
LIBBY BROCK CHEOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6900 78TH AVE N STE 101, BROOKLYN PARK, MN 55445-2719
(763) 432-6875
Mailing address
6573 KIMBERLY LN N, MAPLE GROVE, MN 55311-3961
(612) 210-2412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7792
MN
Other
Enumeration date
01/10/2008
Last updated
08/10/2021
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