KELSEY JEAN VAN VICKLE

ROSEVILLE, MN
NPI1316313091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  9542)
Enumeration Date2015-08-17
Last Update Date2015-08-17
Business Address
-- KELSEY JEAN VAN VICKLE
1935 COUNTY ROAD B2 W STE 100
ROSEVILLE, MN 55113-2722
Phone number: 651-636-4155
Mailing Address
-- KELSEY JEAN VAN VICKLE
1947 STINSON BLVD
MINNEAPOLIS, MN 55418-4820
Phone number: 612-229-4087
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