Individual
MS. KATHY VARBONCOEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, SST
Contact information
Practice address
1823 COMMERCE ST, MUSKEGON, MI 49441-2608
(231) 728-2138
(231) 722-4771
Mailing address
18724 ELLENWOOD LN, FRUITPORT, MI 49415-9541
(231) 740-9621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2-00422
MI
174400000X
Specialist
6803058152
MI
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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