Individual
ALEXA RAE-STEVENS HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W 66TH ST STE 300, EDINA, MN 55435-2110
(619) 246-1884
Mailing address
1406 EDMUND AVE, SAINT PAUL, MN 55104-2407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10062
MN
235Z00000X
Speech-Language Pathologist
19879
CA
Other
Enumeration date
06/27/2015
Last updated
03/12/2020
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