Individual
MARISSA THORNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3490 LEXINGTON AVE N, SHOREVIEW, MN 55126-8074
(651) 639-0942
(651) 639-1718
Mailing address
7669 PALOMINO LN, LINO LAKES, MN 55014-2905
(651) 245-0086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10013
MN
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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