Individual
JACLYN FRIESE-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
Mailing address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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