Individual
AMY RACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 SUPERIOR ST RM A, PORT HURON, MI 48060-3764
(810) 937-2345
Mailing address
803 SUPERIOR ST RM A, PORT HURON, MI 48060-3764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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