Individual
CORA SUMMER SANTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 30TH ST SW, WYOMING, MI 49519-2526
(269) 501-5952
Mailing address
2024 30TH ST SW, WYOMING, MI 49519-2526
(269) 501-5952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000188
MI
247200000X
Other Technician
—
—
Other
Enumeration date
05/12/2015
Last updated
01/30/2024
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