Individual
CARLY ANN BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 RICHARD AVE STE 200&300, HERMANTOWN, MN 55811-2869
(218) 514-5230
Mailing address
6913 W VAN RD, DULUTH, MN 55803-9359
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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