Individual
HOPE CELINE BAECKELANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 E BROADWAY ST, MOUNT PLEASANT, MI 48858-2933
(989) 854-8334
Mailing address
10650 REVERE, PINCKNEY, MI 48169-9334
(734) 904-9478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MI
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
04/11/2022
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