Individual
ALEXANDREA WOLGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 E CHISHOLM ST, ALPENA, MI 49707-2876
(989) 278-8878
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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