Individual
EMMANUEL NDUBUISI MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 W 4TH ST, BUCHANAN, MI 49107-1160
(269) 362-3862
Mailing address
509 W 4TH ST, BUCHANAN, MI 49107-1160
(269) 362-3862
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6352000801
MI
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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