Individual
CARLY BAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4228 PAGE AVE, MICHIGAN CENTER, MI 49254-1072
(517) 244-6050
Mailing address
4228 PAGE AVE, MICHIGAN CENTER, MI 49254-1072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451021988
MI
Other
Enumeration date
12/21/2021
Last updated
05/26/2023
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