Individual
CANDY RENE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 W BROWN ST, BEAVERTON, MI 48612
(989) 708-4940
Mailing address
385 W BROWN ST, BEAVERTON, MI 48612-9703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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