Individual
CAITLIN ANN RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 E SPRING ST, PORT AUSTIN, MI 48467-9222
(989) 550-0435
Mailing address
258 E SPRING ST, PORT AUSTIN, MI 48467-9222
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MI
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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