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Individual

MR. DUANE FRANK ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
304 W MICHIGAN ST, SUITE 12, MOUNT PLEASANT, MI 48858-2492
(989) 317-4664
Mailing address
304 W MICHIGAN ST, SUITE 12, MOUNT PLEASANT, MI 48858-2492
(989) 317-4664

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013459
MI

Other

Enumeration date
10/28/2013
Last updated
10/28/2013
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