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Individual

SANDRA MARIE SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2, BRIDGEPORT, MI 48722-9655
(989) 401-1239
Mailing address
5039 VILLA LINDE PKWY STE 30, FLINT, MI 48532-3450
(989) 401-2244

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
08/16/2017
Last updated
12/13/2022
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