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Individual

AMMER NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6142 OLDTOWN ST, DETROIT, MI 48224-2031
(313) 926-2676
Mailing address
6142 OLDTOWN ST, DETROIT, MI 48224-2031
(313) 926-2676

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/26/2019
Last updated
11/26/2019
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