Individual
ALEXA GABRIELLE DETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 S SAGINAW ST, FLINT, MI 48503-3705
(810) 424-6069
Mailing address
13272 HARBORVIEW DR, LINDEN, MI 48451-8414
(989) 277-0641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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