Individual
ALYSSA ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 CONCENTRIC BLVD, SAGINAW, MI 48604-9542
(989) 341-3653
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
02/06/2024
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