Individual
EMILY JAYNE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E MAIN ST STE 1, MANKATO, MN 56001-3574
(507) 345-7012
Mailing address
220 E MAIN ST STE 1, MANKATO, MN 56001-3574
(507) 345-7012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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