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Individual

MOLLY FEDEWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4285 DEVELOPMENT DR, LANSING, MI 48911-4213
(517) 706-0421
(517) 706-0423
Mailing address
13906 E KATHLEEN LN, GRAND LEDGE, MI 48837-9325
(517) 643-5827

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary
5201014124
MI

Other

Enumeration date
05/17/2023
Last updated
02/19/2025
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