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Individual

CHARLOTTE THOMAS AGUWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LLPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010817
MI
106H00000X
Marriage & Family Therapist
6401010817
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265607808
NPI
MI
Enumeration date
04/24/2008
Last updated
10/09/2015
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