Individual
AMANDA WANGSNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 RICHARD AVE STE 200, HERMANTOWN, MN 55811-3309
(218) 514-5230
Mailing address
4140 RICHARD AVE STE 200, HERMANTOWN, MN 55811-3309
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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