Individual
WENDY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 ORCHARD VISTA DR SE, GRAND RAPIDS, MI 49546-7069
(616) 726-1917
Mailing address
3075 ORCHARD VISTA DR SE, P.O. BOX 890, GRAND RAPIDS, MI 49546-7069
(616) 726-1917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K0000X
MI
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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