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Individual
DION MARIE MCCULLOUGH
Active
Individual
DION MARIE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4151000365
MI
251B00000X
Case Management Agency
Primary
4101006779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467937870
—
MI
Enumeration date
11/29/2018
Last updated
03/03/2022
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