Individual
DEVYN O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 1ST ST S STE 120, WILLMAR, MN 56201-4243
(320) 403-5247
Mailing address
1604 1ST ST S STE 120, WILLMAR, MN 56201-4243
(320) 403-5247
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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