MS. Lisa Marie Thebo

NPI #1487351177 in Baldwin, Michigan

Provider Information

NPI Number: 1487351177
Entity Type: Individual
Name: MS. Lisa Marie Thebo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 13, 2023
Last Updated: Feb 13, 2023

Practice Location

Address: 645 S. MICHIGAN
City: Baldwin
State: Michigan
ZIP Code: 49304
Phone: (231) 728-3501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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