Individual
MARINA MIDTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1705 ROSEWOOD AVE S, MAPLEWOOD, MN 55109-3641
(715) 699-3893
Mailing address
2110 SILVER BELL RD, EAGAN, MN 55122-1024
(651) 452-3499
(952) 767-4211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MN
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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