Individual
ALIVIA BLOSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6627 ROSE ST, CASS CITY, MI 48726-1262
(989) 872-1800
Mailing address
6627 ROSE ST, CASS CITY, MI 48726-1262
(989) 872-1800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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