Individual
ALICIA O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
25395 VILLAGEWOOD CT, SOUTH LYON, MI 48178-8040
(248) 921-1825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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