Individual
TEARA DOMINIQUE HARRIS HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 N HIGH ST, LANSING, MI 48906-4518
(517) 489-7553
Mailing address
1218 N HIGH ST, LANSING, MI 48906-4518
(517) 489-7553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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