Individual
CHARMAINE LATREESE SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 BEARD AVE N APT 15, BROOKLYN CENTER, MN 55429-2662
(612) 598-0215
Mailing address
6101 BEARD AVE N APT 15, BROOKLYN CENTER, MN 55429-2662
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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