Individual
MARNE OLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
440 W MAIN ST, STE B, GAYLORD, MI 49735-1885
(989) 350-0183
Mailing address
7272 E OPAL LAKE RD, GAYLORD, MI 49735-9083
(989) 350-0183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012223
MI
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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