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Individual

ALLEN DENNIS KENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7901 XERXES AVE S STE 116, BLOOMINGTON, MN 55431-1200
(651) 431-6628
(919) 561-6612
Mailing address
382 NE 191ST ST STE 98090, MIAMI, FL 33179-3899
(651) 431-6628
(919) 561-6612

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/20/2025
Last updated
05/20/2025
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