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Individual

ALEXIS DANIELLE BOGART-VENENZIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
181 E HURON AVE, BAD AXE, MI 48413-1314
(810) 214-2641
Mailing address
181 E HURON AVE, BAD AXE, MI 48413-1314
(810) 214-2641

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/25/2023
Last updated
11/14/2024
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