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Individual

MICHELLE DENISE CHAMPION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
41206 N MILL DR, MAGNOLIA, TX 77354-1874
(936) 273-3226
(936) 273-3226
Mailing address
8696 SUNSET HEIGHTS LN, CONROE, TX 77302-3457
(281) 414-3830
(936) 703-3990

Taxonomy

Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
TX

Other

Enumeration date
12/17/2015
Last updated
12/17/2015
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