Individual
JENNIFER NEWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 WASHINGTON AVE, MONTEVIDEO, MN 56265-2619
(507) 339-4933
(320) 877-9088
Mailing address
320 SATURN ST N STE A, COSMOS, MN 56228-9757
(507) 339-4933
(320) 877-9088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083175442
—
MN
Enumeration date
06/21/2018
Last updated
10/03/2019
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