Individual
JESSE MICHAEL CARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9616 PORTAGE RD, PORTAGE, MI 49002-7257
(269) 250-8200
Mailing address
9616 PORTAGE RD, PORTAGE, MI 49002-7257
(269) 250-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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