Individual
ELIZABETH AZAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MEADOWLANDS DR, WHITE BEAR LAKE, MN 55127-2339
(612) 513-4494
Mailing address
15477 SODIUM ST NW, RAMSEY, MN 55303-5415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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