Individual
MALLORY KAY HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4552 SPAHR AVE, HOLT, MI 48842-1122
(517) 884-1882
Mailing address
5950 PATRIOTS WAY, EAST LANSING, MI 48823-2337
(517) 648-6326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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