Individual
BETH ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 W MAUMEE ST, ADRIAN, MI 49221
(517) 266-8880
Mailing address
805 W MAUMEE ST, ADRIAN, MI 49221
(517) 266-8880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008247
MI
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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