Individual
SEMKHELE MANGENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4876 HIGHLAND DR, BERRIEN SPRINGS, MI 49103-1022
(574) 904-4892
Mailing address
4876 HIGHLAND DR, BERRIEN SPRINGS, MI 49103-1022
(574) 904-4892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33454
MI
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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