Individual
ALLYSE ZABOLOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15930 19 MILE RD BLDG 200, SUITE 150, CLINTON TOWNSHIP, MI 48038-1155
(586) 464-0175
Mailing address
15930 19 MILE RD BLDG 200, SUITE 150, CLINTON TOWNSHIP, MI 48038-1155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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