Individual
LISA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 JEFFERSON AVE, MIDLAND, MI 48640-3513
(989) 859-9709
Mailing address
4301 JEFFERSON AVE, MIDLAND, MI 48640-3513
(989) 859-9709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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