Individual
DAWN LEANNE REAGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.L.P.C.
Contact information
Practice address
97 S 4TH ST STE A, ISHPEMING, MI 49849-2168
(906) 228-9699
(906) 228-0505
Mailing address
97 S 4TH ST, ISHPEMING, MI 49849-2168
(906) 228-9699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015835
MI
Other
Enumeration date
12/08/2016
Last updated
06/04/2019
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