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Individual

MRS. JACQUELINE ANNE SMIGIELSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
489 NEWTON DR, LAKE ORION, MI 48362-3342
(734) 377-0314

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11728422
MI

Other

Enumeration date
01/23/2018
Last updated
02/27/2018
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