Individual
KIMBERLEY DIANA ODEGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 23RD ST S STE 201, SAINT CLOUD, MN 56301-6199
(605) 271-2690
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
(605) 271-2690
(605) 271-3956
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
04/17/2024
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