Individual
ELIZABETH ARDES LOUISE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 ALDRICH AVE S, MINNEAPOLIS, MN 55408-4149
(612) 430-2635
Mailing address
3501 ALDRICH AVE S, MINNEAPOLIS, MN 55408-4149
(612) 430-2635
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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