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Individual

ADARYLL LEGRANT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 PACKARD ST STE 208, ANN ARBOR, MI 48104-6827
(734) 263-9369
Mailing address
2500 PACKARD ST STE 208, ANN ARBOR, MI 48104-6827
(734) 263-9369

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/27/2021
Last updated
02/24/2022
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