MERCEDES ELIZABETH ANGELINE AZURE - RISPA

MOORHEAD, MN
NPI1083467468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2024-04-08
Last Update Date2025-03-26
Business Address
MERCEDES ELIZABETH ANGELINE AZURE - RISPA
1505 30TH AVE S
MOORHEAD, MN 56560-5149
Phone number: 218-287-4338
Mailing Address
MERCEDES ELIZABETH ANGELINE AZURE - RISPA
1547 30TH AVE S
MOORHEAD, MN 56560-5149
Phone number: