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Individual

MRS. MAUREEN ANN DOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
92 N BRIDGE ST, SARANAC, MI 48881-5102
(616) 642-6466
(616) 642-6621
Mailing address
415 BRIDGE ST NW APT 308, GRAND RAPIDS, MI 49504-4390
(616) 460-3564
(616) 642-6621

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401005036
MI
101Y00000X
Counselor
L746901
MI

Other

Enumeration date
02/21/2017
Last updated
12/12/2023
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