Individual
ALIYAH MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 GREENWOOD RD, PRESCOTT, MI 48756-9616
(989) 254-2839
Mailing address
607 S MAIN ST APT 2, AU GRES, MI 48703-9777
(989) 305-8828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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