MIRANDA MARIE DEATLEY

MANKATO, MN
NPI1982376026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2021-09-28
Last Update Date2021-09-28
Business Address
MIRANDA MARIE DEATLEY
501 MADISON AVE
MANKATO, MN 56001-6109
Phone number: 507-682-7100
Mailing Address
MIRANDA MARIE DEATLEY
1746 PLEASANT VIEW DR
NORTH MANKATO, MN 56003-1616
Phone number: 507-381-3321
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