Individual
ALEXIS TANNEHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 E MAIN STREET, SUITE B, CENTREVILLE, MI 49032
(269) 245-0401
Mailing address
666 E MAIN STREET, SUITE B, CENTREVILLE, MI 49032
(269) 245-0401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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