Individual
PORTIA JADE MAUDLIN-HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1484 N M 52, OWOSSO, MI 48867-1235
(989) 494-4289
Mailing address
1484 N M 52, OWOSSO, MI 48867-1235
(989) 494-4289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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