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Individual

MR. PAUL D. FOUCAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
8 W GENESEE ST, IRON RIVER, MI 49935-1435
(906) 265-4428
(906) 265-4595
Mailing address
720 ERIE AVE, CRYSTAL FALLS, MI 49920-1111
(906) 265-4428
(906) 265-4595

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401001846
MI

Other

Enumeration date
01/22/2007
Last updated
10/08/2008
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