Individual
KALLIE KATHRYN LEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10751 S SAGINAW ST STE E, GRAND BLANC, MI 48439-8169
(586) 404-9400
Mailing address
10751 S SAGINAW ST STE E, GRAND BLANC, MI 48439-8169
(586) 404-9400
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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