Individual
DAJUA BLANDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32937 FOREST ST APT 152, WAYNE, MI 48184-2703
(734) 899-7412
Mailing address
32937 FOREST ST APT 152, WAYNE, MI 48184-2703
(734) 899-7412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
B453135271934
MI
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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