Individual
EHPAW WAH SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 5TH AVE S, SOUTH ST PAUL, MN 55075
(952) 688-3099
Mailing address
1547 5TH AVE S, SOUTH ST PAUL, MN 55075
(952) 688-3099
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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