Individual
DANIELLE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2313 8TH ST, PORT HURON, MI 48060-6530
(810) 650-2636
Mailing address
2313 8TH ST, PORT HURON, MI 48060-6530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-29951
MI
Other
Enumeration date
06/20/2016
Last updated
04/04/2018
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