Individual
MS. ALLISON MARIE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16925 ABILITY WAY, GRAND HAVEN, MI 49417-9325
(616) 935-7606
Mailing address
16925 ABILITY WAY, GRAND HAVEN, MI 49417-9325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-65634
MI
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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