Individual
LORI ENOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 HARRIS AVE, TAWAS CITY, MI 48763
(989) 362-8636
Mailing address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 362-8636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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