Individual
DUSTIN HAUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2483 15TH ST NW STE A, NEW BRIGHTON, MN 55112-5604
(612) 235-3398
Mailing address
11317 IBIS ST NW, COON RAPIDS, MN 55433-3750
(612) 559-2360
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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