Individual
ALICIA MARIE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 DEEP RIVER RD, STANDISH, MI 48658-9458
(989) 718-3146
Mailing address
2521 N ELMS RD, FLUSHING, MI 48433-9423
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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