Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 103K00000X | Behavior Analyst | 354614 | |
N | 1041C0700X | Clinical Social Worker | 6802084442 | MI |
NPI | 1003211293 |
---|---|
Provider Name | Christine Juers |
First Address | Kawkawlin, MI 48631-9459 |
Second Address | Kawkawlin, MI 48631-9459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2014 |
Last Update Date | 06/04/2021 |