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Individual

ALONZO SIMS-AMPEY-LITTLEJOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5250 LOVERS LN STE 130, PORTAGE, MI 49002-1579
(269) 425-1536
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/20/2024
Last updated
03/20/2024
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