Individual
OLIVIA SUSANNE SIXTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 CENTER ST, WINONA, MN 55987-3595
(507) 474-4804
Mailing address
219 N SHORE DR, FOUNTAIN CITY, WI 54629-8245
(507) 458-9177
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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