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Elly Looman

Behavior Technician in Marquette, MI. Individual provider (NPI-1).

NPI number1053137331
StatusActive
Last updated in NPPESDec 2, 2024

Details

NPI
1053137331
Entity type
Individual (NPI-1)
Name
Elly Looman
Sex
Female
Sole proprietor
No
Enumeration date
Dec 2, 2024
Certification date
Dec 2, 2024
Last updated
Dec 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1401 Presque Isle Ave
Marquette, MI 49855-2818

Phone 616-914-2017

Mailing address

1401 Presque Isle Ave
Marquette, MI 49855-2818

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