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1891255873
LEAH DERRIS
TRAVERSE CITY, MI
NPI
1891255873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
LEAH DERRIS
1363 DOUGLAS DR STE 104
TRAVERSE CITY, MI 49696-8980
Phone number: 734-377-2115
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Mailing Address
LEAH DERRIS
1738 FOREST RIDGE DR
TRAVERSE CITY, MI 49686-4799
Phone number: 231-445-2662
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