Individual
ADRIENNE MCNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5510 OAKRIDGE DRIVE, BEAVERTON, MI 48612-8595
(989) 859-1860
Mailing address
5510 OAKRIDGE DRIVE, BEAVERTON, MI 48612
(989) 859-1860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
M250031585716
MI
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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