MILYAN MCKISSACK

GRAND RAPIDS, MI
NPI1114572088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-08-07
Last Update Date2022-03-03
Business Address
MILYAN MCKISSACK
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
Mailing Address
MILYAN MCKISSACK
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
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