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Individual

ANNALISE ELIZABETH LEHRKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1530 1ST AVE N STE 150, MOORHEAD, MN 56560-2278
(218) 979-6274
Mailing address
1530 1ST AVE N STE 150, MOORHEAD, MN 56560-2278

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/22/2021
Last updated
09/22/2021
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