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Individual

TINA R MONETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
17445 PINE RIVER RD, LEROY, MI 49655-8366
(231) 876-6527
(231) 876-6519
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-4624
(231) 745-5031

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013739
MI

Other

Enumeration date
12/06/2016
Last updated
12/06/2016
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