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Individual

MR. ALEXANDER JACOB CIVINSKAS I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4620 STATE ST, SAGINAW, MI 48603-3805
(231) 668-4909
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/09/2023
Last updated
11/11/2023
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