Individual
AIYOWIE USOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7010 HIGHWAY 7, ST. LOUIS PARK, MN 55426
(972) 814-0207
Mailing address
1408 CANTERBURY CIR, FORT WORTH, TX 76112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
44409908
TX
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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