Individual
BRADY TONTO SOENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6320 PENN AVE S, RICHFIELD, MN 55423-1139
(612) 677-2350
Mailing address
11715 ASTER WAY, WOODBURY, MN 55129-6706
(908) 295-8716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/21/2024
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