Individual
KEELY-SHAYE LONSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11660 CHIPPEWA HWY, BEAR LAKE, MI 49614-9419
(231) 655-3146
Mailing address
11660 CHIPPEWA HWY, BEAR LAKE, MI 49614-9419
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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