Individual
CARLY SCOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 CHURCH ST STE 215, PLYMOUTH, MI 48170-1689
(833) 222-4273
Mailing address
1444 AMBS DR, JACKSON, MI 49201-8443
(517) 513-9084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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