Individual
ALLYSON DEPUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 E MILHAM AVE STE B, PORTAGE, MI 49002-3049
(269) 303-5931
Mailing address
1617 E MILHAM AVE STE B, PORTAGE, MI 49002-3049
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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