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Individual

DEBRA K ALDERTON PATTULLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
831 W. MILLER ROAD, MCOG, MIO, MI 48647
(989) 745-2531
Mailing address
203 N RED OAK RD, LEWISTON, MI 49756-7531
(989) 745-2531

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401007327
MI
101YP2500X
Professional Counselor
Primary
6401007327
MI
106H00000X
Marriage & Family Therapist
6401007327
MI

Other

Enumeration date
02/28/2011
Last updated
04/10/2012
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