Individual
ANNA ELIZABETH GERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 ROUND LAKE BLVD NW, ANOKA, MN 55303-3315
(612) 509-7113
Mailing address
16952 QUINCY ST NE, HAM LAKE, MN 55304-5323
(612) 747-5571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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