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Individual

LORETTA JAEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
500 S CHERRY ST, WACONIA, MN 55387-4515
(952) 856-4722
Mailing address
10500 WAYZATA BLVD, MINNETONKA, MN 55305-1511
(952) 224-1919

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5827
MN

Other

Enumeration date
11/08/2016
Last updated
11/08/2016
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