Individual
AMBER ANZICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 STATE ST, APT 1, WEST BRANCH, MI 48661-1176
(989) 701-6929
Mailing address
429 STATE ST, APT 1, WEST BRANCH, MI 48661-1176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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