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Individual

LISA EILEEN GURD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1161 E CLARK RD STE 360A, DEWITT, MI 48820-7930
(907) 687-5332
Mailing address
1161 E CLARK RD STE 360A, DEWITT, MI 48820-7930

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002963
MI
106S00000X
Behavior Technician

Other

Enumeration date
03/17/2021
Last updated
08/19/2025
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