KELLY BERTENSHAW

ST LOUIS PARK, MN
NPI1043563570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  8926)
Enumeration Date2012-10-22
Last Update Date2012-10-22
Business Address
Ms. KELLY BERTENSHAW
4415 W 36 1/2 ST
ST LOUIS PARK, MN 55416-4854
Phone number: 952-927-9717
Mailing Address
Ms. KELLY BERTENSHAW
7244 YORK AVE S APARTMENT # 426
EDINA, MN 55435-4455
Phone number: 612-242-1220
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