Individual
MS. ANITA SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 FERNBROOK LN N STE 138, PLYMOUTH, MN 55447-4752
(952) 544-0349
Mailing address
2600 FERNBROOK LN N STE 138, PLYMOUTH, MN 55447-4752
(952) 544-0349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MN
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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