TIMOTHY JUSTIN THERRIEN

PRUDENVILLE, MI
NPI1558997999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2020-03-17
Last Update Date2020-03-17
Business Address
TIMOTHY JUSTIN THERRIEN
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651-9613
Phone number: 989-202-4900
Mailing Address
TIMOTHY JUSTIN THERRIEN
131 STRATFORD DR
PRUDENVILLE, MI 48651-9746
Phone number: 989-889-2757