CASSIDY PHOENIX ELA BAUER

WINONA, MN
NPI1538707070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-12-16
Last Update Date2019-12-16
Business Address
CASSIDY PHOENIX ELA BAUER
223 CENTER ST
WINONA, MN 55987-3595
Phone number: 507-474-4840
Mailing Address
CASSIDY PHOENIX ELA BAUER
1509 SOUTHCROSS DR W
BURNSVILLE, MN 55306-6945
Phone number: 952-491-9810