Individual
CAROLYN CAPOZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 S HICKORY RIDGE TRL, MILFORD, MI 48380-3715
(248) 872-7654
Mailing address
605 S HICKORY RIDGE TRL, MILFORD, MI 48380-3715
(248) 872-7654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
06/14/2019
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