Individual
DAVID WESTON DEGENAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3007 HARBOR LN N STE 1200, PLYMOUTH, MN 55447-5103
(612) 702-4861
Mailing address
7817 73RD ST S, COTTAGE GROVE, MN 55016-1919
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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