Joseph Matthew Liestenfeltz

NPI #1023544228 in Lake City, Michigan

Provider Information

NPI Number: 1023544228
Entity Type: Individual
Name: Joseph Matthew Liestenfeltz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 8, 2017
Last Updated: May 8, 2017

Practice Location

Address: 6021 W SANBORN RD
City: Lake City
State: Michigan
ZIP Code: 49651-9250
Phone: (231) 920-3623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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