Individual
ASHLEY NICOLE LUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 SATURN ST N, COSMOS, MN 56228-9757
(320) 877-7074
Mailing address
320 SATURN ST N, COSMOS, MN 56228-9757
(320) 877-7074
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/22/2023
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