Individual
AMBERLY WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2495 MAPLEWOOD DR, MAPLEWOOD, MN 55109-1984
(651) 770-8884
Mailing address
2495 MAPLEWOOD DR, MAPLEWOOD, MN 55109-1984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9671
MN
Other
Enumeration date
07/18/2016
Last updated
12/07/2017
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