CHRISTOPHER MICHAEL BLACK

PRUDENVILLE, MI
NPI1710546346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-06-07
Last Update Date2019-06-07
Business Address
CHRISTOPHER MICHAEL BLACK
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651-9673
Phone number: 989-422-0279
Mailing Address
CHRISTOPHER MICHAEL BLACK
1895 MISSAUKEE RD
SAINT HELEN, MI 48656-9726
Phone number:
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