| NPI | 1407238470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN HASSEBROEK Owner/Speech Language Pathologist 612-618-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8910) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-10-02 |