Kelly Isrow

NPI #1124666813 in Rochester, Michigan

Provider Information

NPI Number: 1124666813
Entity Type: Individual
Name: Kelly Isrow
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 13, 2019
Last Updated: Dec 13, 2019

Practice Location

Address: 1643 DEEPWOOD CIR
City: Rochester
State: Michigan
ZIP Code: 48307-6097
Phone: (586) 864-4836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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