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Individual

MR. PAUL JOSEPH HORNBOGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
701 WASHINGTON ST, CADILLAC, MI 49601-2042
(231) 429-6955
Mailing address
701 WASHINGTON ST, CADILLAC, MI 49601-2042
(231) 429-6955

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005749
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401005749
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
11/11/2020
Last updated
11/11/2020
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