Individual
COREY MASUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
(906) 632-2805
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090492
MI
Other
Enumeration date
10/03/2008
Last updated
02/01/2013
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