KIMBERLY ANN SOUTHORN

LA CROSSE, WI
NPI1851882542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
KIMBERLY ANN SOUTHORN
901 CALEDONIA ST
LA CROSSE, WI 54603-2616
Phone number: 608-785-4100
Mailing Address
KIMBERLY ANN SOUTHORN
14301 EWING AVE S
BURNSVILLE, MN 55306-4885
Phone number: