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Individual

CORRINE CHRISTENSEN- WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3501 ALDRICH AVE S, MINNEAPOLIS, MN 55408-4149
(920) 393-8320
Mailing address
3501 ALDRICH AVE S, MINNEAPOLIS, MN 55408-4149
(920) 393-8320
(844) 440-2336

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326679978
MN
Enumeration date
04/04/2024
Last updated
04/04/2024
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