Individual
ELIZABETH PHARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 BIELENBERG DR STE 102-104, WOODBURY, MN 55125-1700
(563) 855-8113
Mailing address
1142 SUMMIT AVE, SAINT PAUL, MN 55105-2647
(507) 430-9571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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