Individual
ADELINE MARIA TERESA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 ADAMS ST, MANKATO, MN 56001-4895
(507) 565-0150
Mailing address
416 STATE STREET 1/2, MANKATO, MN 56001-2443
(507) 779-1204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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