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Individual

ALEXIS NICKOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4410 W 13 MILE RD, ROYAL OAK, MI 48073-6515
(433) 924-8549
Mailing address
438 HUNTLEY AVE, CLAWSON, MI 48017-1723
(248) 515-1215

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/19/2024
Last updated
02/19/2024
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