Individual
AKON K DETHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(763) 272-5877
Mailing address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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