Individual
EMMA ELIZABETH CALCAMUGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 NORTHDALE BLVD STE A, ROGERS, MN 55374-4663
(763) 428-2478
Mailing address
7164 9TH ST SE, BUFFALO, MN 55313-4646
(612) 360-8674
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
01/10/2022
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