Kristin Bennett Wolfgang

NPI #1104557339 in Standish, Michigan

Provider Information

NPI Number: 1104557339
Entity Type: Individual
Name: Kristin Bennett Wolfgang
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 3727 DEEP RIVER RD
City: Standish
State: Michigan
ZIP Code: 48658-9458
Phone: (989) 860-7152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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