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Individual

ALISSYA BROWN

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
4626 EMERSON AVE N, MINNEAPOLIS, MN 55412-1334
(763) 438-4964

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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