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Individual

ALLYSSA MICHELLE GRONSETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(612) 546-0772
Mailing address
4613 PENKWE WAY, EAGAN, MN 55122-3719
(320) 815-1103

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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