Individual
ALLYSON ROSE CANELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 GOLFSIDE RD, YPSILANTI, MI 48197-1145
(248) 846-8700
Mailing address
8111 GINGKO WAY, DEXTER, MI 48130-8437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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