Individual
LORETTA L STAVNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(218) 723-6046
Mailing address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(218) 723-6046
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
08/26/2022
Last updated
04/03/2026
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