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Keri Kruse

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

NPI number1063140366
StatusActive
Last updated in NPPESAug 13, 2022

Details

NPI
1063140366
Entity type
Individual (NPI-1)
Name
Keri Kruse
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2022
Certification date
Aug 13, 2022
Last updated
Aug 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

314 E Chisholm St
Alpena, MI 49707-2876

Phone 989-278-8878

Mailing address

Po Box 663
Lakeland, MI 48143-0663

Phone 810-599-2129

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