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Individual

CARAH C ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4140 RICHARD AVE STE 200&300, HERMANTOWN, MN 55811-2869
(218) 673-7769
Mailing address
808 16TH AVE, TWO HARBORS, MN 55616-1247
(218) 606-2369

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
MN
Enumeration date
10/22/2021
Last updated
03/21/2022
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