Search › Minnesota › 235Z00000X
Jessica Wan, CCC-SLP
NPI 1548815525 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3483 Fair Oaks Ct
White Bear Lake, MN 55110 - Phone
- (651) 815-3752
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota