Individual
RYLEE MAE KRZYWDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32260 PIERCE ST, GARDEN CITY, MI 48135-3238
(734) 612-6264
Mailing address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
(248) 621-4792
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K623755572475
BEHAVIORAL TECHNICHIAN
MI
Enumeration date
08/17/2021
Last updated
08/20/2021
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