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Individual

ALEXIS BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2753 S 11TH ST, NILES, MI 49120-4419
(574) 387-4313
Mailing address
2753 S 11TH ST, NILES, MI 49120-4419
(574) 387-4313

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/04/2025
Last updated
02/04/2025
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