Individual
CLODETTE SABIYUMVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2829
(612) 509-6682
(612) 509-6689
Mailing address
930 UNIVERSITY AVE SE APT 909, MINNEAPOLIS, MN 55414-3848
(612) 509-6682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/23/2025
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