Individual
AMY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8980 ZACHARY LN N, MAPLE GROVE, MN 55369-4018
(612) 767-7222
Mailing address
8980 ZACHARY LN N, MAPLE GROVE, MN 55369-4018
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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