Individual
MRS. NICOLE MARIE RUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
16700 17 MILE RD, CLINTON TOWNSHIP, MI 48038-7325
(586) 228-2300
Mailing address
16700 17 MILE RD, CLINTON TOWNSHIP, MI 48038-7325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
09/17/2024
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