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Individual

CAROL ANN BARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2715 S TOWNLINE RD, HOUGHTON LAKE, MI 48629-9294
(989) 366-1106
Mailing address
126 STANLEY AVE, PRUDENVILLE, MI 48651-9757
(989) 366-1106

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802074454
MI

Other

Enumeration date
03/15/2013
Last updated
03/15/2013
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