Individual
EMORY MARIE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
(952) 767-2267
Mailing address
2351 ROBIN LN, MOUND, MN 55364-8625
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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