Individual
ALEXIS THIERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 225-7210
Mailing address
200 W SPRING ST, MARQUETTE, MI 49855-4661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851114708
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/23/2018
Last updated
06/08/2022
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