Individual
MISS RACHAEL L. CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 W M 21, OWOSSO, MI 48867-8163
(810) 373-5276
Mailing address
136 HELLE BLVD APT 115, DUNDEE, MI 48131-9414
(916) 470-6105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002440
—
Other
Enumeration date
02/16/2017
Last updated
05/14/2024
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