Individual
ANDREA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 FERNBROOK LN N STE 138, PLYMOUTH, MN 55447-4752
(952) 544-0349
Mailing address
2600 FERNBROOK LN N STE 138, PLYMOUTH, MN 55447-4752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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