SHANTEL AUTUMN CAVASOS

PRUDENVILLE, MI
NPI1548037377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-12-12
Last Update Date2023-12-12
Business Address
SHANTEL AUTUMN CAVASOS
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651-9613
Phone number: 855-772-8847
Mailing Address
SHANTEL AUTUMN CAVASOS
35078 WILLIS ST
CLINTON TOWNSHIP, MI 48035-2883
Phone number: 734-778-4516