Individual
KELLI MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
327 S MARSCHALL RD, SUITE 390, SHAKOPEE, MN 55379-1687
(612) 807-3723
Mailing address
4975 SPRUCE LN, SAVAGE, MN 55378-2922
(952) 913-7804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7780
MN
Other
Enumeration date
03/16/2008
Last updated
03/16/2008
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