Individual
BROOKLYN MARAE BLASING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 BASSETT DR, MANKATO, MN 56001-6569
(507) 565-0150
Mailing address
311 E ROOSEVELT CIR APT 303, MANKATO, MN 56001-6957
(507) 380-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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