Individual
SARAH RENEE WINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9880 E MICHIGAN AVE, GALESBURG, MI 49053-8641
(269) 665-5022
Mailing address
12291 FORT CUSTER DR, GALESBURG, MI 49053-8797
(269) 665-5022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871932243
—
MI
Enumeration date
02/08/2022
Last updated
02/08/2022
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