Individual
MS. ALEXANDRA JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.H.SC., (C) CCC-SLP
Contact information
Practice address
7231 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 315-6616
(763) 315-8894
Mailing address
7231 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 315-6616
(763) 315-8894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9961
MN
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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