Individual
MISS LIA PATRICE SEIDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3832 232ND AVE NW APT 104, SAINT FRANCIS, MN 55070-7810
(763) 333-4748
Mailing address
3832 232ND AVE NW APT 104, SAINT FRANCIS, MN 55070-7810
(763) 333-4748
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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