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Individual

DALTON WILLIAM JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3710 KATALIN CT, BAY CITY, MI 48706-2160
(989) 324-2012
Mailing address
3959 RANCH DR, BAY CITY, MI 48706-2017
(989) 671-7718

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MI
106S00000X
Behavior Technician

Other

Enumeration date
07/17/2020
Last updated
06/14/2023
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