Individual
THERESA ANN PATNOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011685
MI
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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