Individual
BRENDA JEAN MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E CEDAR AVE, GLADWIN, MI 48624-2215
(989) 426-9295
(989) 426-2251
Mailing address
4166 BAY AVE, BEAVERTON, MI 48612-8819
(989) 435-3660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4076219
MI
101Y00000X
Counselor
Primary
6401014036
MI
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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