Individual
BRENNA MALONEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 13TH AVE N STE 210E, PLYMOUTH, MN 55441-5070
(612) 426-8785
(763) 400-4909
Mailing address
9900 13TH AVE N STE 210E, PLYMOUTH, MN 55441-5070
(612) 426-8785
(763) 400-4909
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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