Individual
LEEANNE MARIE LOVE WOOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AFC LICENSEE
Contact information
Practice address
621 S M 30, GLADWIN, MI 48624-8443
(989) 426-8517
Mailing address
621 S M 30, GLADWIN, MI 48624-8443
(989) 426-8517
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
AF260401827
MI
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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