Individual
AMBER LAUREN THEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 ELTON HILLS LN NW, ROCHESTER, MN 55901-3577
(507) 244-1134
Mailing address
1580 48TH ST NW, ROCHESTER, MN 55901-0491
(507) 244-1134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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