Tamara Kay Detloff

NPI #1346914447 in Perham, Minnesota

Provider Information

NPI Number: 1346914447
Entity Type: Individual
Name: Tamara Kay Detloff
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 3, 2021
Last Updated: Aug 3, 2021

Practice Location

Address: 316 6TH AVE SW
City: Perham
State: Minnesota
ZIP Code: 56573-1508
Phone: (218) 346-2322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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