Individual
SHAWNA ROSKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2198 US 31 S, MANISTEE, MI 49660-9618
(231) 309-1712
Mailing address
2198 US 31 S, MANISTEE, MI 49660-9618
(231) 309-1712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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