Individual
CATHERINE BROSIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MEADOWLANDS DR STE 1, WHITE BEAR LAKE, MN 55127-2340
(651) 200-5417
Mailing address
1041 COUNTY ROAD D E APT 106, SAINT PAUL, MN 55109-5245
(651) 200-5417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
MN
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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