Individual
MRS. KELSEY ANNE-JAHR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
3800 SILVER BELL RD, EAGAN, MN 55122-1653
(952) 767-4204
Mailing address
5710 BAKER RD, MINNETONKA, MN 55345-5901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9517
MN
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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