Emilyn Jewel Walters

NPI #1427766914 in Hermantown, Minnesota

Provider Information

NPI Number: 1427766914
Entity Type: Individual
Name: Emilyn Jewel Walters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 14, 2022
Last Updated: Nov 14, 2022

Practice Location

Address: 4140 RICHARD AVE STE 200
City: Hermantown
State: Minnesota
ZIP Code: 55811-3309
Phone: (218) 520-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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