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Individual

COLLIN PORTER SEBRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6701 PARKWAY CIR STE 300, BROOKLYN CENTER, MN 55430-2811
(612) 767-7222
Mailing address
409 6TH AVE SE APT 314, MINNEAPOLIS, MN 55414-1833
(651) 233-7277

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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