Individual
MISS ALYSSA LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(855) 832-6727
Mailing address
23550 230TH AVE, PARIS, MI 49338-9443
(734) 309-6188
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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