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Individual

ABIGAIL R JUNGWIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1160 CENTRE POINTE DRIVE, SUITE 7, MENDOTA HEIGHTS, MN 55120
(952) 401-9359
(952) 401-9805
Mailing address
1160 CENTRE POINTE DRIVE, SUITE 7, MENDOTA HEIGHTS, MN 55120
(952) 401-9359
(952) 401-9805

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/23/2020
Last updated
08/29/2022
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