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Organization

CODDAIRE & ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATELYN C CODDAIRE MA, LLP, LPC (OWNER)
(616) 706-8334
Entity
Organization

Contact information

Practice address
6445 CITATION DRIVE, SUITE H, CLARKSTON, MI 48346
(616) 706-8334
Mailing address
6445 CITATION DR STE H, CLARKSTON, MI 48346-2996
(616) 706-8334

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301015429
MI
251S00000X
Community/Behavioral Health Agency
6401014746
MI

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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