Individual
ALLEENA GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 185TH ST W STE 100, LAKEVILLE, MN 55044-6696
(612) 509-1283
Mailing address
216 1ST AVE SW, FARIBAULT, MN 55021-6010
(507) 412-3914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
05/26/2022
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