Individual
MISS AMELIA ROSE NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8305 S SAGINAW ST, GRAND BLANC, MI 48439-1894
(810) 606-8400
Mailing address
8305 S. SAGINAW ST., GRAND BLANC, MI 48439
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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