Individual
AIDAN COEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3936 CIRCLE DR, HOLMEN, WI 54636-9187
(608) 394-6930
Mailing address
478 W 4TH ST, WINONA, MN 55987-2818
(715) 498-0700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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