Individual
MISS JULIE MARIE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1838
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14058211
—
235Z00000X
Speech-Language Pathologist
Primary
9576
MN
Other
Enumeration date
10/31/2017
Last updated
02/12/2021
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