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Individual

ALLISON FAITH ANTCLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
(616) 935-3300
Mailing address
7165 BLUE LAKE RD, TWIN LAKE, MI 49457-8929
(860) 373-1889

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/18/2022
Last updated
08/18/2022
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