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Individual

CARLIE LITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3913 LELAND AVE. NW, COMSTOCK PARK, MI 49321
(210) 454-6060
Mailing address
3913 LELAND AVE NW, PO BOX 25, COMSTOCK PARK, MI 49321-5027
(210) 454-5606

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/10/2017
Last updated
05/10/2017
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