Individual
KARI ERICA PANTEKOEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1710 SUBURBAN AVE, SAINT PAUL, MN 55106-6636
(651) 254-3200
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1172
HI
235Z00000X
Speech-Language Pathologist
Primary
8594
MN
Other
Enumeration date
07/30/2014
Last updated
03/10/2021
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