Individual
ELLIE MARIE MICHALETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 DEAN PKWY STE 300, MINNEAPOLIS, MN 55416-7700
(612) 315-7627
Mailing address
2925 DEAN PKWY STE 300, MINNEAPOLIS, MN 55416-7700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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