Individual
EVAN KOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(715) 853-6501
Mailing address
1509 SOUTHCROSS DR W, BURNSVILLE, MN 55306-6945
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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