Individual
AUDREY ELIZABETH DUFRESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MEADOWLANDS DR, WHITE BEAR LAKE, MN 55127-2339
(612) 315-1976
Mailing address
1517 STONEYBROOK DR, LINO LAKES, MN 55038-3326
(651) 219-0999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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