Individual
ALEXUS STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19968 KENTFIELD ST, DETROIT, MI 48219-2015
(989) 482-8705
Mailing address
19968 KENTFIELD ST, DETROIT, MI 48219-2015
(989) 482-8705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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