Individual
DANIELLE MARIE KONJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
210 N LAFAYETTE ST, SOUTH LYON, MI 48178-2048
(248) 465-3144
Mailing address
210 N LAFAYETTE ST, SOUTH LYON, MI 48178-2048
(248) 437-1744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6301017327
MI
Other
Enumeration date
01/11/2018
Last updated
09/18/2018
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