Individual
AVERY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 DOCTORS PARK, SAINT CLOUD, MN 56303
(320) 774-3915
(320) 774-3918
Mailing address
108 DOCTORS PARK, SAINT CLOUD, MN 56303
(320) 774-3915
(320) 774-3918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
07/09/2019
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