Individual
ALEXIS ELIZABETH GODLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
517 E DIVISION ST, ROCKFORD, MI 49341-1376
(616) 512-2831
Mailing address
10483 S FERRIS AVE, GRANT, MI 49327-9609
(616) 667-7011
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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