Individual
CHRISTA MARIE DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1370 HILLTOP DR, YPSILANTI, MI 48197-8957
(734) 218-0211
Mailing address
1370 HILLTOP DR, YPSILANTI, MI 48197-8957
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6401016194
MI
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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