Individual
CAROLYNE ETHEL KRUEGER PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3011 ACORN TRL, FARIBAULT, MN 55021-8926
(612) 438-9204
Mailing address
3011 ACORN TRL, FARIBAULT, MN 55021-8926
(612) 438-9204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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