Individual
JODI DETOFFOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9633 YUKON AVE S, BLOOMINGTON, MN 55438-1650
(612) 424-9890
Mailing address
9633 YUKON AVE S, BLOOMINGTON, MN 55438-1650
(612) 424-9890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0176
MN
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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