Individual
ABGAIL G MORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8670 210TH ST W, LAKEVILLE, MN 55044-7000
(800) 438-1772
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(800) 438-1772
(262) 345-5562
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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