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Individual

MICHAEL HUBERT DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
108 E GARFIELD AVE, CHARLEVOIX, MI 49720-1721
(231) 330-0757
Mailing address
PO BOX 456, CHARLEVOIX, MI 49720-0456
(231) 330-0757

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MI

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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