Individual
MS. ALICIA R GOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, BT
Contact information
Practice address
854 WASHINGTON AVE STE 600, HOLLAND, MI 49423-7141
Mailing address
854 WASHINGTON AVE STE 600, HOLLAND, MI 49423-7141
(616) 499-2218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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