Individual
ELIZABETH MARIE BREYFOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
(612) 889-0278
Mailing address
608 W MARSHALL ST # 2, MARSHALL, MN 56258-3034
(507) 530-2145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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