Miranda Marie Deatley
Miranda Marie Deatley is a Community/Behavioral Health Agency in Mankato, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
501 Madison AveMankato, MN 56001-6109
Phone: (507) 682-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1982376026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2021 |
| Last updated in NPPES | September 28, 2021 |
| Certification date | September 28, 2021 |
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