Samantha Victoria Wydryck

NPI #1871211359 in Allen Park, Michigan

Provider Information

NPI Number: 1871211359
Entity Type: Individual
Name: Samantha Victoria Wydryck
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 19, 2022
Last Updated: Aug 19, 2022

Practice Location

Address: 9299 NIVER AVE
City: Allen Park
State: Michigan
ZIP Code: 48101-1541
Phone: (734) 301-7164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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