Individual
ERIC MUAJKOOB LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 MEADOWLANDS DR, WHITE BEAR LAKE, MN 55127-2339
(651) 399-5405
Mailing address
6433 ROYAL PINES PL, LINO LAKES, MN 55038-5404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
04/26/2022
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