Individual
MRS. TERESA L BRENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 5TH AVE E, SHAKOPEE, MN 55379-1534
(612) 802-2987
Mailing address
436 5TH AVE E, SHAKOPEE, MN 55379-1534
(612) 802-2987
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171400000X
Health & Wellness Coach
Primary
A-3274491
MN
Other
Enumeration date
10/27/2020
Last updated
04/07/2021
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