Individual
ALYCIA MAXINE KAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W NEWARK RD, LAPEER, MI 48446-9449
(810) 267-4453
Mailing address
1100 W NEWARK RD, LAPEER, MI 48446-9449
(810) 267-4453
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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