Individual
ALANNAH RAE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AS
Contact information
Practice address
88 SOUTH ST, SPARTA, MI 49345-1234
(616) 818-8375
Mailing address
88 SOUTH ST, SPARTA, MI 49345-1234
(616) 818-8375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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