Individual
MRS. SHANDA GWEN GAUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
11091 JASEN AVE NE SUITE 2, COURAGE KENNY REHABILITATION INSTITUTE ALBERTVILLE PART, ALBERTVILLE, MN 55301
(763) 744-4160
(763) 497-0679
Mailing address
5436 KAHLER DRIVE NE, ALBERTVILLE, MN 55301
(763) 370-9860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7438
MN
Other
Enumeration date
11/30/2016
Last updated
03/09/2020
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