Individual
EMMA ANN TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19437 EVANS ST NW, ELK RIVER, MN 55330-1074
(763) 515-3532
Mailing address
19437 EVANS ST NW, ELK RIVER, MN 55330-1074
(763) 515-3532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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