Individual
ANNE CAROLINE MITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2395 ARIEL ST N STE B, MAPLEWOOD, MN 55109-2248
(651) 773-3208
Mailing address
12882 ESSEX WAY, APPLE VALLEY, MN 55124-4501
(952) 463-5773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
518153
MN
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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