Individual
DESHAWN MICHAEL WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(612) 756-9107
Mailing address
2065 PARKSIDE DR, SAINT PAUL, MN 55119-4673
(612) 275-8238
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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