LARA DERKSEN

BLOOMINGTON, MN
NPI1467204305
Former NameLARA ELVEHJEM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2024-04-03
Last Update Date2024-04-03
Business Address
LARA DERKSEN MA
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431-4422
Phone number: 612-925-8365
Mailing Address
LARA DERKSEN MA
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431-4422
Phone number: