Individual
ALLISON MARIE TULLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 HARBOR LN N STE 1200, PLYMOUTH, MN 55447-5138
(612) 439-4650
Mailing address
11544 PARKSIDE LN N, CHAMPLIN, MN 55316-3378
(763) 843-6167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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