Individual
COURTNEY MARGARET ANN LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 PARKWAY CIRCLE SUITE 300, BROOKLYN CENTER, MN 55430
(763) 231-9094
Mailing address
5323 DUPONT AVE N, MINNEAPOLIS, MN 55430-3125
(612) 558-0798
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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