Individual
MELISSA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9673
(989) 429-3467
Mailing address
8707 REISS DR, FARWELL, MI 48622-8713
(989) 429-3467
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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