Individual
ALLY REID ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2935 BIRCH HOLLOW DR, ANN ARBOR, MI 48108-2301
(734) 971-0990
Mailing address
9732 BECKER AVE, ALLEN PARK, MI 48101-1335
(313) 407-4561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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