Individual
BRENDA KAY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
(952) 281-0207
Mailing address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
(952) 281-0207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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