Individual
AMIE DEFRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 HOLLAND AVE, PORT HURON, MI 48060
(586) 556-0140
Mailing address
1041 HOLLAND AVE, PORT HURON, MI 48060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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