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Individual

ELLEN GRACE LUNDEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1160 CENTRE POINTE DR STE 7, MENDOTA HEIGHTS, MN 55120-1377
(952) 215-3750
(952) 401-9805
Mailing address
3125 GRAND AVE S APT 4, MINNEAPOLIS, MN 55408-3344
(815) 666-2806

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/19/2025
Last updated
08/19/2025
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