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1952478588
KELLY MARIE KRUCKEBERG
ST LOUIS PARK, MN
NPI
1952478588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MN 7955)
Enumeration Date
2006-11-29
Last Update Date
2016-04-07
Business Address
KELLY MARIE KRUCKEBERG M.S., CCC-SLP
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-1029
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Mailing Address
KELLY MARIE KRUCKEBERG M.S., CCC-SLP
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-1029
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