Individual
ARIADNE LEONOR LUCIO OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 ROUND LAKE BLVD NW, ANOKA, MN 55303-3315
(612) 509-7113
Mailing address
1304 7TH AVE APT 206, ANOKA, MN 55303-2785
(612) 715-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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