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Individual

ALEXIS JACKSON-WULFEKUHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2109 HAMILTON RD STE 217, OKEMOS, MI 48864-1700
(517) 295-3175
Mailing address
277 E AMADOR AVE STE 101, LAS CRUCES, NM 88001-3675
(575) 520-6074

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/08/2024
Last updated
07/22/2025
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