Individual
ALICIA BUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 COMMERCE DR, WOODBURY, MN 55125-9118
(612) 242-8598
Mailing address
8915 82ND ST. CT. S., COTTAGE GROVE, MN 55016
(612) 242-8598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
07/03/2023
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