Kelley Rose Fisher
NPI #1114681079 in Prudenville, Michigan
Provider Information
- NPI Number
- 1114681079
- Entity Type
- Individual
- Name
- Kelley Rose Fisher
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 27, 2021
- Last Updated
- Oct 27, 2021
Practice Location
- Address
- 1840 W HOUGHTON LAKE DR
- City
- Prudenville
- State
- Michigan
- ZIP Code
- 48651-9672
- Phone
- (989) 202-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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