Individual
AMINO ABBI DUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 ETNA ST STE 35, SAINT PAUL, MN 55106-5847
(651) 797-4141
Mailing address
425 ETNA ST STE 35, SAINT PAUL, MN 55106-5847
(651) 797-4141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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