Individual
MARISSA KATHLEEN COWSILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3940 RANCHERO DR STE 100, ANN ARBOR, MI 48108-3900
(734) 929-4596
Mailing address
3940 RANCHERO DR STE 100, ANN ARBOR, MI 48108-3900
(734) 929-4596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002278
MI
Other
Enumeration date
10/22/2021
Last updated
12/22/2023
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