MELISSA PROVENZANO

SHELBY TOWNSHIP, MI
NPI1184292468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-06-14
Last Update Date2022-11-22
Business Address
MELISSA PROVENZANO
50194 SCHOENHERR RD
SHELBY TOWNSHIP, MI 48315-3136
Phone number: 586-991-6596
Mailing Address
MELISSA PROVENZANO
50194 SCHOENHERR RD
SHELBY TOWNSHIP, MI 48315-3136
Phone number: 586-991-6596