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Individual

KAYLEE GERADS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
512 30TH AVE E STE 100, ALEXANDRIA, MN 56308-5096
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64454
MN
174400000X
Specialist

Other

Enumeration date
01/28/2021
Last updated
03/17/2023
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