Individual
MRS. ALLYRA LIESTELLE ST. AUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-5900
Mailing address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-5900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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