Individual
SARA WELLSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9613
(989) 422-0279
Mailing address
1070 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9613
(989) 422-0279
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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