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1689898371
STACY LEIDHOLT
COON RAPIDS, MN
NPI
1689898371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MN 7946)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
STACY LEIDHOLT MA, CCC-SLP
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433-5645
Phone number: 763-767-0854
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Mailing Address
STACY LEIDHOLT MA, CCC-SLP
16870 91ST AVE N APT 218
MAPLE GROVE, MN 55311-5485
Phone number: 763-486-3584
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