Individual
ALEX JAMES MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2221 LIVERNOIS RD STE 101, TROY, MI 48083-1603
(586) 703-4452
Mailing address
2221 LIVERNOIS RD STE 101, TROY, MI 48083-1603
(586) 703-4452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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