Individual
TETIANA KOTSEHUB GROCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 BRYANT AVE N, MINNEAPOLIS, MN 55411-4413
(516) 776-5105
(516) 776-5105
Mailing address
716 BRYANT AVE N, MINNEAPOLIS, MN 55411-4413
(516) 776-5105
(516) 776-5105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0581
MN
Other
Enumeration date
12/31/2019
Last updated
05/21/2025
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