Individual
FAITH XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 COMMERCE DR, WOODBURY, MN 55125-9118
(612) 767-7222
Mailing address
1880 MARYKNOLL AVE, SAINT PAUL, MN 55109-4622
(651) 410-3943
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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