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Individual

CLARISSA LYNN ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHW

Contact information

Practice address
10767 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-6219
(231) 947-0351
Mailing address
10767 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-6219
(231) 313-2218

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
96271964
MI

Other

Enumeration date
06/12/2024
Last updated
06/12/2024
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