Individual
BRADY SOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 MEADOWLANDS DR STE 1&2, WHITE BEAR LAKE, MN 55127-2339
(612) 315-1976
Mailing address
23164 E MARTIN LAKE DR NE, STACY, MN 55079-9378
(651) 261-8298
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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