Kelly Mcgowan

NPI #1407414725 in Ann Arbor, Michigan

Provider Information

NPI Number: 1407414725
Entity Type: Individual
Name: Kelly Mcgowan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 1, 2019
Last Updated: Jun 1, 2019

Practice Location

Address: 100 N STAEBLER RD STE B
City: Ann Arbor
State: Michigan
ZIP Code: 48103-9755
Phone: (734) 252-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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