Individual
MISS ABBIE ROSE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3361 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 942-2522
Mailing address
1467 ODETTE, HARTLAND, MI 48353-3462
(810) 844-3675
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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