Individual
CAROLE LYNN HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
159 N MAPLE STREE, MANISTIQUE, MI 49854
(906) 286-0505
Mailing address
159 N MAPLE STREE, MANISTIQUE, MI 49854
(906) 286-0505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401002561
MI
Other
Enumeration date
05/05/2018
Last updated
05/05/2018
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