ISIDORE IBEAWUCHI

WAYNE, MI
NPI1851825368
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date2017-04-12
Last Update Date2017-04-12
Business Address
-- ISIDORE IBEAWUCHI
4080 GARFIELD ST
WAYNE, MI 48184-1978
Phone number: 734-799-2256
Mailing Address
-- ISIDORE IBEAWUCHI
4080 GARFIELD ST
WAYNE, MI 48184-1978
Phone number: 734-799-2256
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