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Individual

AMY 1 DISCUSSION POLLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7700
Mailing address
7604 CORTLAND AVE, ALLEN PARK, MI 48101-2214
(313) 800-1324

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/27/2022
Last updated
12/27/2022
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