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1114413077
LISA MARIE RICKERT
COON RAPIDS, MN
NPI
1114413077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 8381)
Enumeration Date
2018-07-03
Last Update Date
2018-07-03
Business Address
LISA MARIE RICKERT MS, CCC-SLP
3111 124TH AVE NW STE 123
COON RAPIDS, MN 55433-4573
Phone number: 763-236-7337
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Mailing Address
LISA MARIE RICKERT MS, CCC-SLP
11604 65TH AVE N
MAPLE GROVE, MN 55369-6100
Phone number:
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