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Individual

JULIE LEBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1 HERITAGE DR, SOUTHGATE, MI 48195-3094
(734) 818-5222
Mailing address
2632 RIVERSIDE DR, TRENTON, MI 48183-2807
(616) 821-9728

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011705
MI
101YP2500X
Professional Counselor
6401011705
MI
104100000X
Social Worker

Other

Enumeration date
04/12/2010
Last updated
08/06/2022
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