Individual
ALEXIS JANE WONNACOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CHARTWELL DR, TRAVERSE CITY, MI 49696-9283
(231) 929-2354
(231) 929-2853
Mailing address
3807 VALE DR, TRAVERSE CITY, MI 49686-2978
(231) 944-5151
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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