Individual
CAROLYN ANN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17940 LINCOLN RD, NEW LOTHROP, MI 48460-9641
(989) 845-7336
Mailing address
17940 LINCOLN RD, NEW LOTHROP, MI 48460-9641
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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