Kelly Wiese

NPI #1386469575 in Austin, Minnesota

Provider Information

NPI Number
1386469575
Entity Type
Individual
Name
Kelly Wiese
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 21, 2024
Last Updated
Nov 21, 2024

Practice Location

Address
102 1ST AVE NE
City
Austin
ZIP Code
55912-3401
Phone
(507) 292-1006

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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