Individual
ALEXANDRIA CAROLINE METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9613
(989) 202-4900
Mailing address
1070 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9613
(989) 202-4900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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