Individual
MRS. CARLY VIVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17290 FARMINGTON RD, LIVONIA, MI 48152-3151
(734) 523-8482
Mailing address
17290 FARMINGTON RD, LIVONIA, MI 48152-3151
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
10/12/2016
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