Individual
SHAWNA DICHELLE THORNTON-CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8570 MAGNOLIA TRL, 212, EDEN PRAIRIE, MN 55344-7621
(612) 940-6164
Mailing address
8570 MAGNOLIA TRL APT 212, EDEN PRAIRIE, MN 55344-7621
(612) 940-6164
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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