Individual
CORY PLISCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14387 EDGEWOOD DR, BAXTER, MN 56425-8460
(218) 454-5181
Mailing address
26801 EDNA LAKE RD, NISSWA, MN 56468-2744
(218) 232-1750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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