Jessica Christine Wan, CCC-SLP
NPI #1548815525 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1548815525
- Entity Type
- Individual
- Name
- Jessica Christine Wan, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Aug 6, 2019
- Last Updated
- Aug 6, 2019
Practice Location
- Address
- 3483 FAIR OAKS CT
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-4578
- Phone
- (651) 815-3752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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