Individual
ABIGAIL MAE MYSHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 W CEDAR AVE, GLADWIN, MI 48624-1818
(989) 429-0591
Mailing address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(810) 487-5571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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