Individual
EMILY BENESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
(952) 814-0207
Mailing address
1325 FILLMORE ST, ALEXANDRIA, MN 56308-2449
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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