Individual
ANDREA CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1211 W NORTH ST, JACKSON, MI 49202-3132
(517) 513-3297
Mailing address
2400 SCIENCE PKWY, OKEMOS, MI 48864-2560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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