Individual
CASSIE LYNNE CHARBONEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W ELM ST, CHEBOYGAN, MI 49721-1622
(231) 445-1191
Mailing address
1618 M 212 HWY, CHEBOYGAN, MI 49721-8234
(231) 445-1191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007956
MI
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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