Larson-Mccluskey, Gwynevere Abigail

Larson-Mccluskey, Gwynevere Abigail is an individual health care provider with primary practice located at 1720 Bassett Dr , Mankato MN 56001-6569. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Larson-Mccluskey, Gwynevere Abigail can be contacted via phone (507) 565-0150.

Contact Information

Primary practice address
1720 Bassett Dr Mankato MN 56001-6569
Phone: (507) 565-0150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1184341877
LBN Legal business name Larson-Mccluskey, Gwynevere Abigail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2022
Last updated Oct 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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