Individual
BAYLEE LANE MAGGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 WASHINGTON AVE, MONTEVIDEO, MN 56265-2619
(320) 877-7074
Mailing address
513 VILLAGE DR APT 103, MARSHALL, MN 56258-2848
(406) 334-3617
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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