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Individual

BAYLEIGH MARIE IOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1040 S WINTER ST STE 1022, ADRIAN, MI 49221-3876
(517) 265-8905
Mailing address
1040 S WINTER ST STE 1022, ADRIAN, MI 49221-3876
(517) 264-6300

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326628660
MI
Enumeration date
04/12/2021
Last updated
04/28/2022
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