MICAH ASHIYA RUSSELL

DEARBORN, MI
NPI1568117232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-02-21
Last Update Date2022-02-21
Business Address
MICAH ASHIYA RUSSELL
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: 313-689-5188
Mailing Address
MICAH ASHIYA RUSSELL
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: