Individual
ALYSSA MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10781 E CHERRY BEND RD # STUDIO2, TRAVERSE CITY, MI 49684-5249
(231) 268-0007
(231) 525-3170
Mailing address
10781 E CHERRY BEND RD # STUDIO2, TRAVERSE CITY, MI 49684-5249
(231) 268-0007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
520064585364
MI
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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