Individual
EMILY MARIE COUSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 BASSETT DR, MANKATO, MN 56001-6569
(507) 315-2914
Mailing address
155 BALCERZAK DR APT 4, MANKATO, MN 56001-5738
(802) 771-5721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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