Mia Petsuch

NPI #1679371454 in Hugo, Minnesota

Provider Information

NPI Number
1679371454
Entity Type
Individual
Name
Mia Petsuch
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Mar 6, 2025
Last Updated
Mar 6, 2025

Practice Location

Address
14663 MERCANTILE DR N
City
Hugo
ZIP Code
55038-4559
Phone
(612) 405-3156

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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