Individual
KRISTEN WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
20 9TH ST SE, LONG PRAIRIE, MN 56347-1404
(320) 732-7264
Mailing address
20 9TH ST SE, LONG PRAIRIE, MN 56347-1404
(320) 732-7264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9293
MN
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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