MRS. Lydia Marissa Willson

NPI #1023506029 in Burnsville, Minnesota

Provider Information

NPI Number: 1023506029
Entity Type: Individual
Name: MRS. Lydia Marissa Willson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 25, 2018
Last Updated: Jun 2, 2022

Practice Location

Address: 14301 EWING AVE S
City: Burnsville
State: Minnesota
ZIP Code: 55306-4885
Phone: (952) 746-5350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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