Individual
CAMRYN CATHERINE LUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 BASSETT DR, MANKATO, MN 56001-6569
(507) 565-0150
Mailing address
34035 170TH ST, HAMBURG, MN 55339-2008
(952) 913-3534
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/03/2022
Last updated
07/06/2022
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