Individual
SARA BREANNA EXSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP CCC
Contact information
Practice address
4010 W 65TH ST, SUITE 105, EDINA, MN 55435-1721
(952) 285-2840
(952) 285-2830
Mailing address
1009 GOLF COURSE RD, MONTICELLO, MN 55362-8747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8041
MN
Other
Enumeration date
07/05/2006
Last updated
06/02/2008
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