Individual
DESARAE LYNN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 PREMIER DR., MANKATO, MN 56001
(507) 720-0920
(507) 720-0920
Mailing address
1700 PREMIER DR., MANKATO, MN 56001
(507) 720-0920
(507) 720-0920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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