Individual
ALYSSA FAITH LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 W. MONROE JACKSON, MI 49202, 950 W. MONROE JACKSON, MI 49202, JACKSON, MI 49202-4920
(517) 795-1598
Mailing address
650 CHURCH ST STE 215, PLYMOUTH, MI 48170-1689
(425) 424-2378
(425) 424-2378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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