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Individual

GRACELYNN MAIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 E MOUNT HOPE AVE, LANSING, MI 48910-3207
(517) 999-2760
Mailing address
202 PINE ST, CHESANING, MI 48616-1252
(989) 323-2090

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/28/2023
Last updated
04/02/2026
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