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Individual

DIANE J SCHROEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015672
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401015672
MICHIGAN PROFESSIONAL COUNSELOR LICENSE
MI
01
81-5104899
BUSINESS TAX ID
MI
Enumeration date
02/28/2018
Last updated
02/28/2018
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