Individual
ALYSSA RENEE PODSKALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5970 AVALON DR APT 226, MUSKEGON, MI 49444-7764
(913) 775-3606
Mailing address
5970 AVALON DR APT 226, MUSKEGON, MI 49444-7764
(913) 775-3606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72802
MI
225800000X
Recreation Therapist
68925
MI
Other
Enumeration date
07/08/2021
Last updated
11/04/2024
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