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Individual

MRS. KATHELEEN JOAN HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
3948 S. STRAITS HWY, SOUTH BUILDING, SUITE 1, INDIAN RIVER, MI 49749
(231) 268-1707
Mailing address
PO BOX 324, INDIAN RIVER, MI 49749-0324
(231) 268-1707

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014383
MI

Other

Enumeration date
08/28/2014
Last updated
08/28/2014
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