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Individual

EMILY CAROL BARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Mailing address
1849 PHILADELPHIA AVE SE, GRAND RAPIDS, MI 49507-2868
(616) 475-9632

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801086955
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1715928
MI
Enumeration date
09/28/2006
Last updated
09/29/2011
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