Amelia Kathleen Corson

NPI #1285473470 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1285473470
Entity Type: Individual
Name: Amelia Kathleen Corson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 20, 2024
Last Updated: May 20, 2024

Practice Location

Address: 1011 MEADOWLANDS DR STE 1&2
City: White Bear Lake
State: Minnesota
ZIP Code: 55127-2339
Phone: (612) 445-0302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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