Individual
ALEXUS SHATRICE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 E 11 MILE RD, WARREN, MI 48092-2878
(855) 824-5669
Mailing address
25319 STONYCROFT DR, SOUTHFIELD, MI 48033-2720
(313) 600-1357
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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