Elise Olivia Bolthouse

NPI #1366226557 in Rockford, Michigan

Provider Information

NPI Number
1366226557
Entity Type
Individual
Name
Elise Olivia Bolthouse
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Aug 21, 2023
Last Updated
Aug 21, 2023

Practice Location

Address
517 E DIVISION ST
ZIP Code
49341-1376
Phone
(616) 512-2831

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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