Individual
ALICIA MASSENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
06321 BLUE STAR MEMORIAL HWY, SOUTH HAVEN, MI 49090-7775
(269) 241-2700
Mailing address
06321 BLUE STAR MEMORIAL HWY, SOUTH HAVEN, MI 49090-7775
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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