Individual
JUDY SUPERCZYSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
(231) 655-3146
Mailing address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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