Individual
OLIVIA JEAN WEIERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9346 OAK AVE, WACONIA, MN 55387
(952) 223-2506
Mailing address
9346 OAK AVE, WACONIA, MN 55387-9422
(952) 223-2506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
09/30/2020
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