Individual
ALEXI RAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, CADC-DP, QMHP
Contact information
Practice address
6919 MAPLEWOOD RD, INDIAN RIVER, MI 49749-9463
(231) 838-9777
Mailing address
310 N FRONT, LAKE CITY, MI 49651-9307
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
82945
MI
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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