MACKENZIE JO KUSSRO

GRAND RAPIDS, MI
NPI1588230759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-05-28
Last Update Date2021-06-04
Business Address
MACKENZIE JO KUSSRO
1256 WALKER AVE NW
GRAND RAPIDS, MI 49504-4067
Phone number: 844-969-0252
Mailing Address
MACKENZIE JO KUSSRO
1256 WALKER AVE NW
GRAND RAPIDS, MI 49504-4067
Phone number:
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