Individual
MADELINE WOLLERSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 629-7463
Mailing address
614 PORTLAND AVE APT 302, SAINT PAUL, MN 55102-2271
(952) 797-6954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10312
MN
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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