Individual
AIDAN KOLSTOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 W MICHIGAN AVE, LANSING, MI 48917-2856
(517) 624-2395
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 599-2129
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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