Jordan Kotwicki

NPI #1982116687 in Kentwood, Michigan

Provider Information

NPI Number: 1982116687
Entity Type: Individual
Name: Jordan Kotwicki
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 2, 2017
Last Updated: Nov 2, 2017

Practice Location

Address: 5366 EASTERN AVE SE
City: Kentwood
State: Michigan
ZIP Code: 49508-6018
Phone: (616) 608-3665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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