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CLARE IGOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
511 S VERMONT AVE, ROYAL OAK, MI 48067-2938
(248) 709-0345

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
247200000X
Other Technician

Other

Enumeration date
08/11/2016
Last updated
09/26/2018
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