Individual
CASSIDY POTVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3178 HILTON RD, FERNDALE, MI 48220-1059
(248) 712-4266
Mailing address
3178 HILTON RD, FERNDALE, MI 48220-1059
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002689
MI
Other
Enumeration date
06/08/2020
Last updated
02/19/2025
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