Individual
LADD HERBERT PERREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4819 FOSTER RD, MIDLAND, MI 48642-3229
(989) 414-9306
Mailing address
4819 FOSTER RD, MIDLAND, MI 48642-3229
(989) 414-9306
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/31/2021
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