Charla Ann Loose

NPI #1336873843 in Montevideo, Minnesota

Provider Information

NPI Number: 1336873843
Entity Type: Individual
Name: Charla Ann Loose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 11, 2022
Last Updated: Jul 11, 2022

Practice Location

Address: 2419 WASHINGTON AVE
City: Montevideo
State: Minnesota
ZIP Code: 56265-2619
Phone: (320) 877-7074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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