KHALLID WOOTEN

DETROIT, MI
NPI1972313872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-01-13
Last Update Date2025-01-13
Business Address
KHALLID WOOTEN
12005 SAINT MARYS ST
DETROIT, MI 48227-1103
Phone number: 313-439-5644
Mailing Address
KHALLID WOOTEN
12005 SAINT MARYS ST
DETROIT, MI 48227-1103
Phone number: 313-439-5644