Individual
DENA ELAINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2483 15TH ST NW STE A, NEW BRIGHTON, MN 55112-5604
(262) 379-0849
Mailing address
2483 15TH ST NW STE A, NEW BRIGHTON, MN 55112-5604
(262) 379-0849
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
MN
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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