Individual
JACQUELINE MARIE MAIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 439-5330
Mailing address
6213 FRENCH LAKE WAY, FARIBAULT, MN 55021-7635
(507) 412-7031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6276-154
WI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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