Individual
ALEXANDRA RAE KOLOWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 RANGE RD, PORT HURON, MI 48060-4606
(810) 937-2345
Mailing address
9001 MILLER RD STE 5, SWARTZ CREEK, MI 48473-1115
(989) 401-2244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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