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1184292468
MELISSA PROVENZANO
SHELBY TOWNSHIP, MI
NPI
1184292468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-14
Last Update Date
2022-11-22
Business Address
MELISSA PROVENZANO
50194 SCHOENHERR RD
SHELBY TOWNSHIP, MI 48315-3136
Phone number: 586-991-6596
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Mailing Address
MELISSA PROVENZANO
50194 SCHOENHERR RD
SHELBY TOWNSHIP, MI 48315-3136
Phone number: 586-991-6596
Copy
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