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Misty Sewell

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

NPI number1437807641
StatusActive
Last updated in NPPESMar 16, 2022

Details

NPI
1437807641
Entity type
Individual (NPI-1)
Name
Misty Sewell
Sex
Female
Sole proprietor
No
Enumeration date
Mar 16, 2022
Certification date
Mar 16, 2022
Last updated
Mar 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1001 Laurence Ave
Jackson, MI 49202-2979

Phone 517-750-4777

Mailing address

907 Lowell Ave
Jackson, MI 49202-3039

Phone 517-358-5347

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