STACY LEIDHOLT

COON RAPIDS, MN
NPI1689898371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  7946)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- STACY LEIDHOLT MA, CCC-SLP
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433-5645
Phone number: 763-767-0854
Mailing Address
-- STACY LEIDHOLT MA, CCC-SLP
16870 91ST AVE N APT 218
MAPLE GROVE, MN 55311-5485
Phone number: 763-486-3584