Stephaine Ann Fath

NPI #1235738543 in Pinconning, Michigan

Provider Information

NPI Number: 1235738543
Entity Type: Individual
Name: Stephaine Ann Fath
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 19, 2020
Last Updated: Oct 19, 2020

Practice Location

Address: 606 S MERCER ST
City: Pinconning
State: Michigan
ZIP Code: 48650-9347
Phone: (989) 859-5920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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