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Individual

MRS. ALICIA RENEE CHICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BMS

Contact information

Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
(575) 647-2898
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
(575) 647-2898

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18677037
NM
Enumeration date
09/03/2009
Last updated
04/05/2022
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