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Individual

COREY A NASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 767-7222
Mailing address
901 E 77TH ST APT 303, MINNEAPOLIS, MN 55423-4546
(612) 331-9413

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/17/2022
Last updated
01/17/2022
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