Charnelle Mann

NPI #1043712755 in Chesterfield, Michigan

Provider Information

NPI Number: 1043712755
Entity Type: Individual
Name: Charnelle Mann
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 8, 2018
Last Updated: Mar 8, 2018

Practice Location

Address: 53869 CONNOR DR
City: Chesterfield
State: Michigan
ZIP Code: 48051-3930
Phone: (773) 241-4009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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