Individual
CHANCE MUYOBOKE UTETIWABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 VOYAGER DR, WAYLAND, MI 49348-9152
(518) 423-0598
Mailing address
441 VOYAGER DR, WAYLAND, MI 49348-9152
(518) 423-0598
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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