Individual
LENA PHILEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 44TH ST SW, GRANDVILLE, MI 49418-2177
(844) 244-1818
Mailing address
2787 WILSON AVE NW, WALKER, MI 49534-7510
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002892
MI
Other
Enumeration date
04/17/2025
Last updated
08/10/2025
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