Individual
CORRIE MARIE WEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 RICHARD AVE STE 200&300, HERMANTOWN, MN 55811-2869
(218) 673-3253
Mailing address
315 N 3RD AVE E APT 304, DULUTH, MN 55805-1853
(218) 673-3253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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