Individual
DANIELLE BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 CENTER ST, WINONA, MN 55987-3595
(507) 474-4840
Mailing address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 746-5350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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