Individual
JORDAN L BROWNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2016 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-2861
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10476
MN
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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