Coleman Luis Fresquez

NPI #1124594130 in Waterford, Michigan

Provider Information

NPI Number
1124594130
Entity Type
Individual
Name
Coleman Luis Fresquez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 17, 2018
Last Updated
Oct 17, 2018

Practice Location

Address
955 CAMPUS DR N
ZIP Code
48328-2754
Phone
(248) 475-6300

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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