MARISA LUELLAMAE SHACKLEFORD

FARIBAULT, MN
NPI1083344246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2022-06-12
Last Update Date2022-06-12
Business Address
MARISA LUELLAMAE SHACKLEFORD
218 CENTRAL AVE N
FARIBAULT, MN 55021-5278
Phone number: 507-491-5475
Mailing Address
MARISA LUELLAMAE SHACKLEFORD
218 CENTRAL AVE N
FARIBAULT, MN 55021-5278
Phone number: