Individual
SERENA HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7375 WOODWARD AVE STE 2800, DETROIT, MI 48202-3157
(313) 251-6367
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-330085
MI
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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