Individual
MADELINE MARIE GREELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 CENTRE POINTE DRIVE, STE 7, MENDOTA HEIGHTS, MN 55120
(952) 401-9359
Mailing address
15339 MARTIN ST NW, ANDOVER, MN 55304-2610
(763) 550-7991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
M293-115-481-914
MN
Other
Enumeration date
05/14/2022
Last updated
01/28/2025
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