Individual
ERIN R MOSENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 BIELENBERG DR STE 102-104, WOODBURY, MN 55125-1700
(612) 445-8326
Mailing address
1764 MCKNIGHT RD N, MAPLEWOOD, MN 55109-4850
(651) 387-3816
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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