Desirae Marie Legg

NPI #1548071392 in Kalkaska, Michigan

Provider Information

NPI Number: 1548071392
Entity Type: Individual
Name: Desirae Marie Legg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2025
Last Updated: Sep 23, 2025

Practice Location

Address: 103 W 3RD ST # 524
City: Kalkaska
State: Michigan
ZIP Code: 49646-5107
Phone: (517) 918-4567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Behavior Technician	106S00000X	Primary

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