Individual
BENJAMIN WOIWODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, BCBA
Contact information
Practice address
492 GRAAFSCHAP RD, HOLLAND, MI 49423-4547
(616) 403-2450
Mailing address
492 GRAAFSCHAP RD, HOLLAND, MI 49423-4547
(616) 403-2450
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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