Individual
ALLIE JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 S MAIN ST STE 2, ADRIAN, MI 49221-4309
(517) 312-1711
Mailing address
1424 S MAIN ST STE 2, ADRIAN, MI 49221-4309
(517) 312-1711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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