Individual
IESHIA DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300O SAN HILL RD, B3-210, MENLO PARK, MI 94025-1803
(650) 656-9856
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
01/17/2022
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